Organization Active NPI

Refit Physical Restoration LLC

  • Rehabilitation Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1356716450
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
40QA01588700 Issued in NJ
Legal business name
REFIT PHYSICAL RESTORATION LLC
Practice address
610 Washington Blvd
Jersey City, NJ 07310-1400
Phone
(917) 753-6516
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sunny Thakkar, PT
Title
Director
Phone
(917) 753-6516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 40QA01588700 NJ Primary

Addresses

Primary practice location

610 Washington Blvd
Jersey City, NJ 07310-1400

Mailing address

610 Washington Blvd
Jersey City, NJ 07310-1400
Phone (917) 753-6516

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1356716450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WASHINGTON BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101400",
            "telephone_number": "917-753-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WASHINGTON BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101400",
            "telephone_number": "917-753-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFIT PHYSICAL RESTORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-753-6516",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "40QA01588700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.