Prime Care Rehab, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT40QA008339000 Issued in NJ

Legal business name

PRIME CARE REHAB, INC

Practice address

3830 Park Ave Ste 207
Edison, NJ 08820-2562

Phone

(732) 549-3993

Fax

(732) 549-3991

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Miss Divine Ocampo Rodriguez, PT

Title

President /Physical Therapist

Phone

(732) 549-3993

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1407180698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PARK AVE STE 207",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202562",
            "telephone_number": "732-549-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PARK AVE STE 207",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202562",
            "telephone_number": "732-549-3993",
            "fax_number": "732-549-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DIVINE",
        "authorized_official_middle_name": "OCAMPO",
        "authorized_official_title_or_position": "PRESIDENT /PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "17325493993",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "PT40QA008339000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.