Organization Active NPI

Personal Best Rehab PT PC

  • Physical Therapy Clinic/Center
  • Ho Ho Kus, NJ
National Provider Identifier
1477610822
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00766700 Issued in NJ
Legal business name
PERSONAL BEST REHAB PT PC
Practice address
611 N Maple Ave
Suite 6
Ho Ho Kus, NJ 07423-1668
Phone
(201) 447-1112
Fax
(201) 447-1180
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
George Siminig Samala, M.S.P.T.
Title
President
Phone
(201) 447-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00766700 NJ Primary

Addresses

Primary practice location

611 N Maple Ave
Suite 6
Ho Ho Kus, NJ 07423-1668

Mailing address

611 N Maple Ave
Suite 6
Ho Ho Kus, NJ 07423-1668
Phone (201) 447-1112

National Provider Directory

National Provider Directory

Locations

1 W Ridgewood Ave
Ste 307
Paramus, NJ 07652
Phone (201) 251-7725

61 N Maple Ave
Ste 203
Ridgewood, NJ 07450
Phone (201) 447-1112

375 Franklin Ave
Wyckoff, NJ 07481
Phone (201) 447-1112

Practitioners & affiliated clinicians

Practitioners 3

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1477610822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N MAPLE AVE",
            "address_2": "SUITE 6",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231668",
            "telephone_number": "201-447-1112",
            "fax_number": "201-447-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N MAPLE AVE",
            "address_2": "SUITE 6",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231668",
            "telephone_number": "201-447-1112",
            "fax_number": "201-447-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL BEST REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "SAMALA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SIMINIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-447-1112",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00766700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ho Ho Kus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.