NPIMap

Organization Active NPI

Home Rehab Consultants, LLC

  • Physical Therapist
  • Englewood Cliffs, NJ
National Provider Identifier
1750458782
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00665800 Issued in NJ
Legal business name
HOME REHAB CONSULTANTS, LLC
Practice address
347 Elisa Dr
Englewood Cliffs, NJ 07632-1721
Phone
(201) 390-4070
NPI assigned
Nov 28, 2006
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Karen M Canellos, PHYSICAL THERAPISTNPI 1669572103
Title
Partner
Phone
(201) 390-4070

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00665800 NJ Primary

Addresses

Primary practice location

347 Elisa Dr
Englewood Cliffs, NJ 07632-1721

Mailing address

PO Box 424
Tenafly, NJ 07670-0424
Phone (201) 390-4070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041206000434 NJ Part B Supplier - Clinic/Group Practice 6305802976 Receives reassigned benefits from 7 practitioners
Practice locations: Oradell, NJ

National Provider Directory

National Provider Directory

Locations

617 Oradell Ave
Unit 9
Oradell, NJ 07649
Phone (201) 661-0811

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1750458782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076700424",
            "telephone_number": "201-390-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 ELISA DR",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321721",
            "telephone_number": "201-390-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME REHAB CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "CANELLOS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-390-4070",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00665800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.