Organization Active NPI

Rehab Potential Inc

  • Physical Therapist
  • Carlstadt, NJ
National Provider Identifier
1831954809
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHAB POTENTIAL INC
Practice address
636A 6TH St
Carlstadt, NJ 07072-1728
Phone
(201) 355-9048
Fax
(323) 908-6098
NPI assigned
Feb 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Nicky ShahNPI 1275948002
Title
Owner
Phone
(706) 615-7539

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 2

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

Addresses

Primary practice location

636A 6TH St
Carlstadt, NJ 07072-1728

Mailing address

636A 6TH St
Carlstadt, NJ 07072-1728
Phone (201) 355-9048

Other practice location 1

5001 61st St Fl 2
Woodside, NY 11377-5829
Phone (706) 615-7539

Other names 1

  • Rehab potential Inc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260409003721 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365917044 Receives reassigned benefits from 1 practitioner
Practice locations: Woodside, NY
O20260427003214 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365917044 Receives reassigned benefits from 1 practitioner
Practice locations: Carlstadt, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1831954809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636A 6TH ST",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721728",
            "telephone_number": "201-355-9048",
            "fax_number": "323-908-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636A 6TH ST",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721728",
            "telephone_number": "201-355-9048",
            "fax_number": "323-908-6098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 61st St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113775829",
            "country_code": "US",
            "telephone_number": "706-615-7539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHAB POTENTIAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-615-7539"
    },
    "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": "Rehab potential Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carlstadt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.