NPIMap

Organization Active NPI

Rehab and Fitness Consulting, Inc.

  • Physical Therapist
  • Maple Shade, NJ
National Provider Identifier
1992724918
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00988600 Issued in NJ
Legal business name
REHAB AND FITNESS CONSULTING, INC.
Practice address
122 E Kings Hwy
Suite 502
Maple Shade, NJ 08052-3424
Phone
(856) 231-0088
Fax
(856) 778-2782
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Irma Tetruashvily, MSPT
Title
Director of Rehabilitation Services
Phone
(856) 231-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 40QA00988600 NJ Primary

Addresses

Primary practice location

122 E Kings Hwy
Suite 502
Maple Shade, NJ 08052-3424

Mailing address

122 E Kings Hwy
Suite 502
Maple Shade, NJ 08052-3424
Phone (856) 231-0088

National Provider Directory

National Provider Directory

Locations

122 E Kings Hwy
Ste 502
Maple Shade, NJ 08052
Phone (856) 231-0088

Practitioners & affiliated clinicians

Practitioners 9

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992724918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E KINGS HWY",
            "address_2": "SUITE 502",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080523424",
            "telephone_number": "856-231-0088",
            "fax_number": "856-778-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E KINGS HWY",
            "address_2": "SUITE 502",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080523424",
            "telephone_number": "856-231-0088",
            "fax_number": "856-778-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB AND FITNESS CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TETRUASHVILY",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "DIRECTOR OF REHABILITATION SERVICES",
        "authorized_official_telephone_number": "856-231-0088",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00988600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Shade, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.