Independent Rehab Services Limited Liability Company

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

40QA00954900 Issued in NJ

Legal business name

INDEPENDENT REHAB SERVICES LIMITED LIABILITY COMPANY

Practice address

12 Kacie Lynn CT
Jackson, NJ 08527-4373

Phone

(732) 822-7820

Fax

(732) 928-8707

NPI assigned

Jan 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael Andrew Kurilla Jr., DPTNPI 1063757813

Title

Physical Therapist

Phone

(732) 822-7820

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.

• Michael Andrew Kurilla, DPT

  • Physical Therapist
  • Jackson, NJ
  • NPI 1063757813
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1972992790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 KACIE LYNN CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274373",
            "telephone_number": "732-822-7820",
            "fax_number": "732-928-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KACIE LYNN CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274373",
            "telephone_number": "732-822-7820",
            "fax_number": "732-928-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT REHAB SERVICES LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "KURILLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-822-7820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "40QA00954900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.