Healthcare Provider Details

I. General information

NPI: 1396779559
Provider Name (Legal Business Name): R & R REHABILITATION AND PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 06/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SEARS DR
PARAMUS NJ
07652-3515
US

IV. Provider business mailing address

1 ELDEN DR
SADDLE RIVER NJ
07458-2809
US

V. Phone/Fax

Practice location:
  • Phone: 201-265-1500
  • Fax: 201-265-3040
Mailing address:
  • Phone: 201-265-1500
  • Fax: 201-265-3040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number40QA00661200
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. ERIC BRUMMER
Title or Position: OWNER
Credential: PHYSICAL THERAPIST
Phone: 201-265-1500