IVYREHAB NETWORK, INC.
NPI 1124646617
Physical Medicine & Rehabilitation in Denville, NJ

Active since July 10, 2020
123 E MAIN ST STE 4, DENVILLE, NJ 07834(973) 625-0744(973) 625-0741 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2026, Aug 12, 2022, Jul 10, 2020 (3 updates tracked since 2020).

About Ivyrehab Network, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVYREHAB NETWORK, INC. (NPI 1124646617) is a healthcare organization registered as a physical medicine & rehabilitation in Denville, New Jersey and active in the NPI registry since July 2020. The organization lists Michael Rucker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124646617
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameIVYREHAB NETWORK, INC.
Location Address123 E MAIN ST STE 4Denville, NJ 07834-2630
Mailing Address1311 Mamaroneck Ave Ste 140White Plains, NY 10605-5224 · (914) 294-4050
Fax(973) 625-0741
Organization SubpartNo
Authorized OfficialMichael RuckerCeo · (631) 580-5200
Enumeration DateJuly 10, 2020
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1124646617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
123 E MAIN ST STE 4, Denville, NJ 07834

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivyrehab Network, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20201202003154DME · Independently-Practicing Physical TherapistDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivyrehab Network, Inc.'s NPI number?

The NPI number for Ivyrehab Network, Inc. is 1124646617. It was assigned to this organization in the NPPES registry on July 10, 2020.

Where is Ivyrehab Network, Inc. located?

Ivyrehab Network, Inc. is located at 123 E Main St Ste 4, Denville, NJ 07834. The listed phone number is (973) 625-0744.

What is Ivyrehab Network, Inc.'s specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Ivyrehab Network, Inc. enrolled in Medicare?

Yes. Ivyrehab Network, Inc. is registered in the Medicare PECOS enrollment system.

When is Ivyrehab Network, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Independently-Practicing Physical Therapist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Ivyrehab Network, Inc. was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.