Individual provider Active NPI

Rashida Cassubhai, PT

  • Physical Therapist
  • Cresskill, NJ
National Provider Identifier
1770639320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00449000 Issued in NJ
Practice address
220 Knickerbocker Rd
Cresskill, NJ 07626-1827
Phone
(201) 541-9222
Fax
(201) 541-1711
NPI assigned
Jan 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00449000 NJ Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122002654 NJ Practitioner - Physical Therapist in Private Practice 7517226467 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00449000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Homestay P.C. Physical Therapist CurrentSince Feb 27, 2019 Accepting new patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Dec 5, 2017 Accepting new patients
Palisades Rehabilitation Services, Inc. Physical Therapist Past Accepting new patients
Prime Rehabilitation Services, Inc. Physical Therapist PastSince Jan 31, 2021 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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770639320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 PROSPECT AVE APT 3F",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012602",
            "telephone_number": "201-342-9396",
            "fax_number": "201-342-9395"
        },
        {
            "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": {
        "last_name": "CASSUBHAI",
        "first_name": "RASHIDA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00449000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 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.