Organization Active NPI

Palisades Rehabilitation Services, Inc.

  • 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.
Practice address
220 Knickerbocker Rd
Cresskill, NJ 07626-1827
Phone
(201) 541-9222
Fax
(201) 541-1711
NPI assigned
Jan 10, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Medicare enrollment records 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • Palisades Rehabilitation Center of Cresskill Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2012.

{
    "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.