Rashida Cassubhai, PT
Individual provider Active NPI Physical Therapist · Cresskill, NJ
NPI 1770639320 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770639320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA00449000 (NJ)
- Practice address
- 220 Knickerbocker Rd
Cresskill, NJ 07626-1827 - Phone
- (201) 541-9222
- Fax
- (201) 541-1711
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180122002654 | NJ | Practitioner - Physical Therapist in Private Practice | 7517226467 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00449000 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homestay P.C. | Physical Therapist | Current |
Accepting new patients |
| Mobile Therapy Services, Inc. | Physical Therapist | Current |
Accepting new patients |
| Palisades Rehabilitation Services, Inc. | Physical Therapist | Past | Accepting new patients |
| Prime Rehabilitation Services, Inc. | Physical Therapist | Past |
Accepting new patients |
Locations
103 Somerset St
Garfield, NJ 07026
Phone (646) 645-0582
1 Main St
Ste 505
Tinton Falls, NJ 07724
8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00449000 | NJ | Yes |
Addresses
Primary practice location
220 Knickerbocker Rd
Cresskill, NJ 07626-1827
Mailing address
344 Prospect Ave Apt 3F
Hackensack, NJ 07601-2602
Phone (201) 342-9396
Other providers in Cresskill, NJ
- Ofer Burshtain
- Allison Butigian
- Cafe RX LLC
- Yvonne Callas
- Thomas Campione
- Ann Marie Cecere
- Mark Frank Cetta
- Gary A Chanowitz
- Larry Bernard Chasin
- Henry Heechang Cho
All providers in Cresskill, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.