Organization Active NPI

Northeast Rehabilitation Inc.

  • Orthopedic Physical Therapist
  • Pearl River, NY
National Provider Identifier
1861789505
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
012255-1 Issued in NY
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

Updated by the provider on Dec 14, 2015

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, CHTNPI 1871529701
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)CodeLicenseStatePrimary
Hand Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251H1200X 012255-1 NY
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.