Advanced Physical Medicine and Rehabilitation, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01350900 Issued in NJ

Legal business name

ADVANCED PHYSICAL MEDICINE AND REHABILITATION, LLC

Practice address

1719 Main St
Suite 101
Lake Como, NJ 07719-3097

Phone

(732) 894-9200

Fax

(732) 894-9202

NPI assigned

Apr 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Reizis, PT

Title

Managing Member/Physical Therapist

Phone

(732) 894-9200

Specialties & licenses 1

Addresses

Locations

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.

• Mitchell I Kosheff, PT DPT PHYSICAL THER

  • Physical Therapist
  • Jackson, NJ
  • NPI 1134221922
  NPD (past)

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1649561812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 MAIN ST",
            "address_2": "SUITE 101",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077193097",
            "telephone_number": "732-894-9200",
            "fax_number": "732-894-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 MAIN ST",
            "address_2": "SUITE 101",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077193097",
            "telephone_number": "732-894-9200",
            "fax_number": "732-894-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL MEDICINE AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "REIZIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING MEMBER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-894-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01350900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Achimov, PT,DPT
• Advanced Physical Medicine & Rehabilitation, LLC
• Enrique Beer
• John Matthew Buckley, REGISTERED NURSE
• Jose Padua Cariaso, PT,DPT
• Vincent Cavaliere
• Joshua N Chu, PT, DPT

• Physical Therapist in Lake Como, NJ
• Providers in Lake Como, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.