Progressive Hand Rehab LLC

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

46TR001259 Issued in NJ

Legal business name

PROGRESSIVE HAND REHAB LLC

Practice address

914 Clifton Ave
Clifton, NJ 07013-2708

Phone

(973) 931-4338

NPI assigned

Mar 18, 2011

Organization subpart

No

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

Authorized official

Name

Shobha JacobNPI 1104870765

Title

Owner

Phone

(973) 931-4338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Shobha Jacob, MS OTR CHT

  • Hand Occupational Therapist
  • Clifton, NJ
  • NPI 1104870765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1881993780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132708",
            "telephone_number": "973-931-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HAND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-931-4338"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR001259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hand Occupational Therapist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Hand Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.