Organization Active NPI

Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
National Provider Identifier
1639766603
Registry record updated Dec 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SAND COAST REHAB PHYSICAL THERAPY INC
Practice address
436 Chestnut St Unit 1
Lakewood, NJ 08701-5811
Phone
(732) 994-3200
NPI assigned
Dec 24, 2020
Last updated
Dec 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2024

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

Authorized official

Name
Mr. Eliezer Friedman
Title
President
Phone
(732) 886-6202

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

436 Chestnut St Unit 1
Lakewood, NJ 08701-5811

Mailing address

436 Chestnut St Unit 1
Lakewood, NJ 08701-5811
Phone (732) 994-3200

Other practice location 1

3775 Modoc Rd
Santa Barbara, CA 93105-4474
Phone (732) 886-6202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210211003128 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315352911 Receives reassigned benefits from 197 practitioners
O20250602000513 WA Part B Supplier - Clinic/Group Practice 7315352911 Receives reassigned benefits from 4 practitioners
Practice locations: Bothell, WA; Vancouver, WA
O20250616001613 OR Part B Supplier - Clinic/Group Practice 7315352911 Receives reassigned benefits from 3 practitioners
Practice locations: Tigard, OR

National Provider Directory

National Provider Directory

Locations

183 Third Ave
Chula Vista, CA 91910
Phone (619) 205-4100

850 Duncan Ranch Rd
Chula Vista, CA 91914
Phone (619) 482-8000

625 Mayflower Rd
Claremont, CA 91711

650 Harrison Ave
Claremont, CA 91711
Phone (888) 627-2900

650 Harrison Ave
Ste 218
Claremont, CA 91711

25818 Columbia St
Hemet, CA 92544

25200 Paseo de Alicia
Laguna Hills, CA 92653

1110 Cass St
Monterey, CA 93940
Phone (831) 643-2400

142 S Prospect St
Orange, CA 92869
Phone (714) 639-3590

2629 E Chapman Ave
Orange, CA 92869
Phone (714) 215-9944

500 W Ranch View Dr
Rocklin, CA 95765

2440 Grand Ave
San Diego, CA 92109
Phone (858) 490-4400

2750 Geary Blvd
San Francisco, CA 94118

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

3850 Lampson Ave
Seal Beach, CA 90740
Phone (562) 594-5788

2435 Wagner Heights Rd
Stockton, CA 95209
Phone (209) 477-5353

1200 Cypress Point Ln
Ventura, CA 93003
Phone (805) 650-8000

Practitioners & affiliated clinicians

Practitioners 252

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.

View all 252

NPI Registry JSON

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735084800000",
    "number": "1639766603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CHESTNUT ST UNIT 1",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015811",
            "telephone_number": "732-994-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CHESTNUT ST UNIT 1",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015811",
            "telephone_number": "732-994-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3775 Modoc Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931054474",
            "country_code": "US",
            "telephone_number": "732-886-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAND COAST REHAB PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-24",
        "last_updated": "2024-12-25",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-886-6202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; 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.