Organization Active NPI

Rehability Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Carlstadt, NJ
National Provider Identifier
1497727358
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00861100 Issued in NJ
Legal business name
REHABILITY PHYSICAL THERAPY, LLC
Practice address
411 Hackensack St
Carlstadt, NJ 07072-1302
Phone
(201) 804-7811
Fax
(201) 804-7833
NPI assigned
Feb 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Christopher Hughes, PT, MSNPI 1982676847
Title
Director
Phone
(201) 804-7811

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 40QA00861100 NJ Primary

Addresses

Primary practice location

411 Hackensack St
Carlstadt, NJ 07072-1302

Mailing address

411 Hackensack St
Carlstadt, NJ 07072-1302
Phone (201) 804-7811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050831000000 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375571821 Receives reassigned benefits from 1 practitioner
Practice locations: Carlstadt, NJ; Red Bank, NJ; Mahwah, NJ

National Provider Directory

National Provider Directory

Locations

411 Hackensack St
Carlstadt, NJ 07072
Phone (201) 804-7811

6 Leighton Pl
Mahwah, NJ 07430
Phone (201) 804-7811

365 Broad St
Ste 3F
Red Bank, NJ 07701
Phone (732) 450-1601

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": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497727358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HACKENSACK ST",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721302",
            "telephone_number": "201-804-7811",
            "fax_number": "201-804-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HACKENSACK ST",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721302",
            "telephone_number": "201-804-7811",
            "fax_number": "201-804-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-804-7811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00861100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlstadt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.