Organization Active NPI

Heart & Soul Rehabilitation

  • Physical Therapist
  • Bloomfield, NJ
National Provider Identifier
1578879474
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA006740 Issued in NJ
Legal business name
HEART & SOUL REHABILITATION
Practice address
733 Bloomfield Ave
Bloomfield, NJ 07003-2545
Phone
(973) 748-8100
Fax
(973) 748-1055
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Robert W Egermayer, P.T.
Title
Owner
Phone
(973) 748-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X QA006740 NJ Primary

Addresses

Primary practice location

733 Bloomfield Ave
Bloomfield, NJ 07003-2545

Mailing address

733 Bloomfield Ave
Bloomfield, NJ 07003-2545
Phone (973) 748-8100

National Provider Directory

National Provider Directory

Locations

522 S Broad St
Glen Rock, NJ 07452
Phone (201) 444-9110

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1578879474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032545",
            "telephone_number": "973-748-8100",
            "fax_number": "973-748-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032545",
            "telephone_number": "973-748-8100",
            "fax_number": "973-748-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & SOUL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "EGERMAYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-748-8100",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA006740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.