Core Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01118800 Issued in NJ

Legal business name

CORE REHABILITATION LLC

Practice address

118 Strong PL
South Plainfield, NJ 07080-2620

Phone

(908) 755-6569

NPI assigned

Jun 5, 2008

Last updated

Oct 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlo Magno B Decastro, PHYSICAL THERAPIST

Title

Owner

Phone

(908) 344-2084

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlo De Castro, PT

  • Physical Therapist
  • Woodbridge, NJ
  • NPI 1598782567
  NPD (past)
• Maria Trinidad Lirag De Castro

  • Physical Therapist
  • South Plainfield, NJ
  • NPI 1174760946
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1477712263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 STRONG PL",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802620",
            "telephone_number": "908-755-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 STRONG PL",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802620",
            "telephone_number": "908-755-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "DECASTRO",
        "authorized_official_first_name": "CARLO MAGNO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-344-2084",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01118800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.