Organization Active NPI

Rehab on Wheels LLC

  • Occupational Therapist
  • Edison, NJ
National Provider Identifier
1972144145
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
REHAB ON WHEELS LLC
Practice address
485 US Highway 1 Ste 3
Edison, NJ 08817-4433
Phone
(718) 576-1150
NPI assigned
Sep 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Mr. Vyacheslav Glukh
Title
Orginizer
Phone
(718) 576-1150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

485 US Highway 1 Ste 3
Edison, NJ 08817-4433

Mailing address

485 US Highway 1 Ste 3
Edison, NJ 08817-4433
Phone (718) 576-1150

Other names 1

  • Rehab On Wheels LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1972144145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 US HIGHWAY 1 STE 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174433",
            "telephone_number": "718-576-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 US HIGHWAY 1 STE 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174433",
            "telephone_number": "718-576-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ON WHEELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "GLUKH",
        "authorized_official_first_name": "VYACHESLAV",
        "authorized_official_title_or_position": "ORGINIZER",
        "authorized_official_telephone_number": "718-576-1150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab On Wheels LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehab On Wheels LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.