Organization Active NPI

Tucker Rehab LLC

  • Physical Therapy Clinic/Center
  • Montvale, NJ
National Provider Identifier
1487869947
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00876900 Issued in NJ
Legal business name
TUCKER REHAB LLC
Practice address
6 Railroad Avenue
Montvale, NJ 07645-2111
Phone
(201) 391-8400
Fax
(201) 391-9400
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Robert Tucker, MSPT
Title
President
Phone
(201) 391-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00876900 NJ Primary

Addresses

Primary practice location

6 Railroad Avenue
Montvale, NJ 07645-2111

Mailing address

6 Railroad Avenue
Montvale, NJ 07645-2111
Phone (201) 391-8400

National Provider Directory

National Provider Directory

Locations

6 Railroad Ave
Montvale, NJ 07645
Phone (201) 391-8400

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1487869947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RAILROAD AVENUE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452111",
            "telephone_number": "201-391-8400",
            "fax_number": "201-391-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RAILROAD AVENUE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452111",
            "telephone_number": "201-391-8400",
            "fax_number": "201-391-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-391-8400",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00876900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.