Playhab Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PLAYHAB REHAB LLC

Practice address

550 Sylvan Ave Ste 201a
Englewood Cliffs, NJ 07632-3115

Phone

(844) 333-5388

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Main Kim, DPTNPI 1417438375

Title

Owner

Phone

(201) 328-4323

Specialties & licenses 1

Addresses

Other names 1

• THE FLEET Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Main Kim, DPT

  • Physical Therapist
  • Cliffside Park, NJ
  • NPI 1417438375
  NPD (past) Authorized official

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1497217632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 37TH ST APT 404",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SYLVAN AVE STE 201A",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323115",
            "telephone_number": "844-333-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYHAB REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-328-4323",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE FLEET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, 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 28, 2020; 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.