Ferris Home Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FERRIS HOME REHABILITATION LLC

Practice address

615 Goodmans Xing
Clark, NJ 07066-2738

Phone

(732) 259-9468

NPI assigned

Sep 21, 2023

Organization subpart

No

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

Authorized official

Name

Brian Boland, DPTNPI 1114563269

Title

Owner

Phone

(732) 259-9468

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Brian Boland

  • Physical Therapist
  • Clark, NJ
  • NPI 1114563269

  Multi-Specialty, NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1831978600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 GOODMANS XING",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662738",
            "telephone_number": "732-259-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 GOODMANS XING",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662738",
            "telephone_number": "732-259-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRIS HOME REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-259-9468",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Allen Everitt, D.M.D.
• Jacob Fahringer, PT, DPT
• Family Chiropractic of Clark LLC
• Family Choice Hospice, LLC
• Nicole Faria, OTR
• Ryan Andrew Finkel, MD
• First Health, P.a.
• Mary Anita Flanagan Buchbinder, DMD
• Dora Luisa Flores-Ryan, MSN, RNC, CNM
• Foundations Autism LLC

• All providers in Clark, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.