NPIMap

Organization Active NPI

Elc Rehabilitation

  • Physical Therapy Clinic/Center
  • Kinnelon, NJ
National Provider Identifier
1497264337
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00627500 Issued in NJ
Legal business name
ELC REHABILITATION
Practice address
2 Arrowhead TRL
Kinnelon, NJ 07405-3102
Phone
(973) 838-8883
Fax
(973) 838-8883
NPI assigned
Sep 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Eisha Locascio, PTNPI 1922216712
Title
Physical Therapist
Phone
(973) 838-8883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00627500 NJ Primary

Addresses

Primary practice location

2 Arrowhead TRL
Kinnelon, NJ 07405-3102

Mailing address

2 Arrowhead TRL
Kinnelon, NJ 07405-3102
Phone (973) 838-8883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171207001121 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951668557 Receives reassigned benefits from 11 practitioners
Practice locations: Haskell, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497264337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ARROWHEAD TRL",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074053102",
            "telephone_number": "973-838-8883",
            "fax_number": "973-838-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ARROWHEAD TRL",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074053102",
            "telephone_number": "973-838-8883",
            "fax_number": "973-838-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOCASCIO",
        "authorized_official_first_name": "EISHA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "973-838-8883",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00627500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.