Active NPI
Sunwood Rehab
- Physical Therapist
- Fort Lee, NJ
National Provider Identifier
1376790436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SUNWOOD REHAB
- Practice address
- 1038 Bergen Blvd
Fort Lee, NJ 07024-1655 - Phone
- (201) 566-3554
- Fax
- (201) 941-7995
- NPI assigned
- Aug 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Kim
- Title
- Office Manager
- Phone
- (201) 566-3554
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00126400 | NJ | |
| Physical Therapist | 225100000X | NJ | Primary | |
| Occupational Therapist | 225X00000X | NJ |
Addresses
Primary practice location
1038 Bergen Blvd
Fort Lee, NJ 07024-1655
Mailing address
1038 Bergen Blvd
Fort Lee, NJ 07024-1655
Phone (201) 566-3554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1219190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500854400000",
"number": "1376790436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 BERGEN BLVD",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070241655",
"telephone_number": "201-566-3554",
"fax_number": "201-941-7995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1038 BERGEN BLVD",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070241655",
"telephone_number": "201-566-3554",
"fax_number": "201-941-7995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNWOOD REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-20",
"last_updated": "2017-07-24",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "201-566-3554"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00126400",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NJ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.