NPIMap

Organization Active NPI

Palisades Rehabilitation Services, Inc.

Doing business as Palisades Rehabilitation Center of Cresskill

  • Physical Therapist
  • Cresskill, NJ
National Provider Identifier
1720137409
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PALISADES REHABILITATION SERVICES, INC.
Doing business as
Palisades Rehabilitation Center of Cresskill
Practice address
220 Knickerbocker Rd
Cresskill, NJ 07626-1827
Phone
(201) 541-9222
Fax
(201) 541-1711
NPI assigned
Jan 10, 2007
Last updated
Mar 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Mrs. Deborah Mueller Longest, OTR LNPI 1922158401
Title
Vice-President
Phone
(201) 541-9222

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

220 Knickerbocker Rd
Cresskill, NJ 07626-1827

Mailing address

220 Knickerbocker Rd
Cresskill, NJ 07626-1827
Phone (201) 541-9222

Other names 1

  • Palisades Rehabilitation Center of Cresskill Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120406000386 NJ Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8820259419 Practice locations: Cresskill, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720137409. Details of each certification follow.

  • CCN 316671 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 316671

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PALISADES REHABILITATION SERVI
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Apr 14, 1998
Last certification
Jan 24, 2023
Ownership / control type
Proprietary
Facility address
220 Knickerbocker Road
Cresskill, NJ 07626

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1720137409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 KNICKERBOCKER RD",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076261827",
            "telephone_number": "201-541-9222",
            "fax_number": "201-541-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 KNICKERBOCKER RD",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076261827",
            "telephone_number": "201-541-9222",
            "fax_number": "201-541-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "LONGEST",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MUELLER",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "201-541-9222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palisades Rehabilitation Center of Cresskill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cresskill, NJ

Sources for this page

Verify at the official NPI Registry.