Organization Active NPI

Resilient Performance Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Chatham, NJ
National Provider Identifier
1639681109
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESILIENT PERFORMANCE PHYSICAL THERAPY LLC
Practice address
100 Passaic Ave
Chatham, NJ 07928-2848
Phone
(800) 567-1891
NPI assigned
Oct 24, 2017
Last updated
Oct 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Dr. Trevor RappaNPI 1639684723
Title
Co-Owner
Phone
(309) 824-5130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

100 Passaic Ave
Chatham, NJ 07928-2848

Mailing address

3900 Greystone Ave Apt 61C
Bronx, NY 10463-1928
Phone (309) 824-5130

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1639681109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 GREYSTONE AVE APT 61C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631928",
            "telephone_number": "309-824-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASSAIC AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282848",
            "telephone_number": "800-567-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT PERFORMANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "RAPPA",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "309-824-5130",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.