NPIMap

Organization Active NPI

Rodem Tree Physical Therapy PC

  • Physical Therapist
  • Palisades Park, NJ
National Provider Identifier
1629335997
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01425200 Issued in NJ
Legal business name
RODEM TREE PHYSICAL THERAPY PC
Practice address
511 Lincoln St
Apt 7
Palisades Park, NJ 07650-1638
Phone
(201) 602-9726
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Brandon Park, PTNPI 1487921540
Title
President
Phone
(201) 602-9726

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01425200 NJ Primary

Addresses

Primary practice location

511 Lincoln St
Apt 7
Palisades Park, NJ 07650-1638

Mailing address

511 Lincoln St
Apt 7
Palisades Park, NJ 07650-1638

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1629335997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 LINCOLN ST",
            "address_2": "APT 7",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 LINCOLN ST",
            "address_2": "APT 7",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501638",
            "telephone_number": "201-602-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEM TREE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-602-9726",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01425200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisades Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.