Organization Active NPI

Raising the Bar Rehabilitation and Fitness LLC

  • Physical Therapist
  • East Rutherford, NJ
National Provider Identifier
1821396441
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00783300 Issued in NJ
Legal business name
RAISING THE BAR REHABILITATION AND FITNESS LLC
Practice address
341 Railroad Ave
East Rutherford, NJ 07073-1717
Phone
(201) 438-7189
Fax
(201) 438-2661
NPI assigned
Mar 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Christopher M Ford, PTNPI 1750337507
Title
President
Phone
(201) 893-5241

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 TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 40QA00783300 NJ Primary

Addresses

Primary practice location

341 Railroad Ave
East Rutherford, NJ 07073-1717

Mailing address

201 Union Ave
Wood Ridge, NJ 07075-1906
Phone (201) 893-5241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111213000396 NJ Part B Supplier - Clinic/Group Practice 0547435984 Receives reassigned benefits from 3 practitioners
Practice locations: East Rutherford, NJ; Rutherford, NJ

National Provider Directory

National Provider Directory

Locations

63 Meadow Rd
Rutherford, NJ 07070
Phone (201) 438-7189

55 Kip Ave
Rutherford, NJ 07070
Phone (201) 438-7189

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1299369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1821396441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UNION AVE",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751906",
            "telephone_number": "201-893-5241",
            "fax_number": "201-438-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 RAILROAD AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731717",
            "telephone_number": "201-438-7189",
            "fax_number": "201-438-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAISING THE BAR REHABILITATION AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-06",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-893-5241",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00783300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.