Active NPI
Henrycare Rehabilitation LLC
- Physical Therapist
- Mays Landing, NJ
National Provider Identifier
1437907615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- HENRYCARE REHABILITATION LLC
- Practice address
- 4123 Drosera Ave
Mays Landing, NJ 08330 - Phone
- (609) 227-7915
- NPI assigned
- May 11, 2024
- 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
- Dr. Alice M Roubos, PT, DPT
- Title
- Physical Therapist/Ceo
- Phone
- (609) 227-7915
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
4123 Drosera Ave
Mays Landing, NJ 08330
Mailing address
4123 Drosera Ave
Mays Landing, NJ 08330
Phone (609) 227-7915
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721088000000",
"number": "1437907615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4123 DROSERA AVE",
"city": "MAYS LANDING",
"state": "NJ",
"postal_code": "08330",
"telephone_number": "609-227-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 DROSERA AVE",
"city": "MAYS LANDING",
"state": "NJ",
"postal_code": "08330",
"telephone_number": "609-227-7915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRYCARE REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-11",
"last_updated": "2024-07-16",
"certification_date": "2024-05-11",
"status": "A",
"authorized_official_last_name": "ROUBOS",
"authorized_official_first_name": "ALICE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/CEO",
"authorized_official_telephone_number": "609-227-7915",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mays Landing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.