Active NPI
Resilient Performance Physical Therapy LLC
- Physical Therapy Clinic/Center
- Chatham, NJ
National Provider Identifier
1639681109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Trevor Rappa
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Physical Therapist
- Chatham, NJ
- NPI 1639684723
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.