EAST COAST REHABILITATION SERVICES LLC
NPI 1417228917
Clinic/Center - Physical Therapy in Kenilworth, NJ

Active since January 16, 2012
700 FAIRFIELD AVE, KENILWORTH, NJ 07033(908) 241-8591(855) 631-4348 Get Directions Write a Review

NPPES record last updated: May 31, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About East Coast Rehabilitation Services Llc NPPES

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

EAST COAST REHABILITATION SERVICES LLC (NPI 1417228917) is a healthcare organization registered as a physical therapy in Kenilworth, New Jersey and active in the NPI registry since January 2012. The organization lists Maria Nisperos, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1417228917
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameEAST COAST REHABILITATION SERVICES LLC
Location Address700 FAIRFIELD AVEKenilworth, NJ 07033-2012
Mailing Address700 Fairfield AveKenilworth, NJ 07033-2012 · (908) 241-8591 · Fax (855) 631-4348
Fax(855) 631-4348
Organization SubpartNo
Authorized OfficialMaria NisperosCo-owner · (973) 704-7734
Enumeration DateJanuary 16, 2012
Last NPPES UpdateMay 31, 2013
✔ NPI 1417228917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in NJ · 40QA01110500
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
700 FAIRFIELD AVE, Kenilworth, NJ 07033

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Coast Rehabilitation Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 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 IDO20140310000357Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to East Coast Rehabilitation Services LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Physical Therapist in Private Practice
NPI 1275408742
764 ROESSNER DR
Union, NJ 07083
(908) 380-1991
1.5 mi
Physical Therapist in Private Practice
NPI 1780889170
26 HALIDAY ST
Clark, NJ 07066
(201) 486-5795
✔ Accepts Medicare3.3 mi
Physical Therapist in Private Practice
NPI 1285760710
517 CENTRAL AVE STE 1
Orange, NJ 07050
(973) 414-1357
✔ Accepts Medicare7.2 mi
Physical Therapist in Private Practice
NPI 1962538470
17 ACADEMY ST STE 312
Newark, NJ 07102
(973) 648-6808
✔ Accepts Medicare7.4 mi
Physical Therapist in Private Practice
NPI 1659062743
654 BROADWAY STE 22ND
Bayonne, NJ 07002
(201) 354-4410
✔ Accepts Medicare8.8 mi
Physical Therapist in Private Practice
NPI 1346886819
4801 BROADWAY
Union City, NJ 07087
(201) 751-5000
✔ Accepts Medicare16 mi
Physical Therapist in Private Practice
NPI 1518109065
278 1ST AVE
New York, NY 10009
(718) 441-1111
✔ Accepts Medicare16 mi
Physical Therapist in Private Practice
NPI 1548774870
7345 WOODLAND DR STE C
Indianapolis, IN 46278
(317) 286-2885
635 mi
Occupational Therapist in Private Practice
NPI 1619268638
300 EAST HOSPITAL ROAD EISENHOWER HOSPITAL, 1ST FLOOR
Fort Gordon, GA 30905
(706) 787-7448
✔ Accepts Medicare661 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 East Coast Rehabilitation Services LLC's NPI number?

The NPI number for East Coast Rehabilitation Services LLC is 1417228917. It was assigned to this organization in the NPPES registry on January 16, 2012.

Where is East Coast Rehabilitation Services LLC located?

East Coast Rehabilitation Services LLC is located at 700 Fairfield Ave, Kenilworth, NJ 07033. The listed phone number is (908) 241-8591.

What is East Coast Rehabilitation Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is East Coast Rehabilitation Services LLC enrolled in Medicare?

Yes. East Coast Rehabilitation Services LLC is registered in the Medicare PECOS enrollment system.

When is East Coast Rehabilitation Services LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by March 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.

How many clinicians bill Medicare through East Coast Rehabilitation Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to East Coast Rehabilitation Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (8) and Occupational Therapist in Private Practice (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for East Coast Rehabilitation Services LLC was last updated on May 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.