Active NPI
Northeast Rehabilitation Inc.
- Orthopedic Physical Therapist
- Pearl River, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 012255-1
- Legal business name
- NORTHEAST REHABILITATION INC.
- Practice address
- 275 N Middletown Rd
Suite 1B
Pearl River, NY 10965-1188 - Phone
- (845) 623-6566
- Fax
- (845) 623-6556
- NPI assigned
- Jul 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sudhir V Tawalare, PT, OCS, CHT
- Title
- Vice-President
- Phone
- (845) 623-6566
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Physical Therapist | 2251H1200X | 012255-1 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 012255-1 | NY | Primary |
Addresses
Primary practice location
275 N Middletown Rd
Suite 1B
Pearl River, NY 10965-1188
Mailing address
281 Spring Valley Rd
Park Ridge, NJ 07656-1017
Phone (845) 623-6566
National Provider Directory
National Provider Directory- Tax ID family
- Northeast Rehabilitation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopedic Physical Therapist
- Pearl River, NY
- NPI 1447286349
Locations
275 N Middletown Rd
Ste 1B
Pearl River, NY 10965
Phone (845) 623-6566
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": "1309478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450051200000",
"number": "1861789505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 SPRING VALLEY RD",
"city": "PARK RIDGE",
"state": "NJ",
"postal_code": "076561017",
"telephone_number": "845-623-6566",
"fax_number": "845-623-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N MIDDLETOWN RD",
"address_2": "SUITE 1B",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651188",
"telephone_number": "845-623-6566",
"fax_number": "845-623-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST REHABILITATION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-01",
"last_updated": "2015-12-14",
"status": "A",
"authorized_official_last_name": "TAWALARE",
"authorized_official_first_name": "SUDHIR",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "845-623-6566",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT, OCS, CHT"
},
"taxonomies": [
{
"code": "2251H1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Hand",
"state": "NY",
"license": "012255-1",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "012255-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.