SPORT REHAB CHIRO P.C.
NPI 1982366571
Clinic/Center in Fort Lee, NJ

Active since October 11, 2021
204 TOM HUNTER RD, FORT LEE, NJ 07024(201) 220-2245 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 3, 2022, Oct 11, 2021 (2 updates tracked since 2021).

About Sport Rehab Chiro P.c. NPPES

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

SPORT REHAB CHIRO P.C. (NPI 1982366571) is a healthcare organization registered as a clinic/center in Fort Lee, New Jersey and active in the NPI registry since October 2021. The organization lists Richard Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1982366571
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSPORT REHAB CHIRO P.C.
Location Address204 TOM HUNTER RDFort Lee, NJ 07024-5302
Mailing Address204 Tom Hunter RdFort Lee, NJ 07024-5302 · (201) 220-2245
Organization SubpartNo
Authorized OfficialRichard LeeOwner · (201) 220-2245
Enumeration DateOctober 11, 2021
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
✔ NPI 1982366571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
204 TOM HUNTER RD, Fort Lee, NJ 07024

Other Names 1

Doing Business AsSport Rehab Chiro P.c.

Other Identifiers 1

Other0450681085NJ · Identification Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sport Rehab Chiro P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sport Rehab Chiro P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1467114041
204 TOM HUNTER RD
Fort Lee, NJ 07024
(201) 220-2245
Same address

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 Sport Rehab Chiro P.C.'s NPI number?

The NPI number for Sport Rehab Chiro P.C. is 1982366571. It was assigned to this organization in the NPPES registry on October 11, 2021.

Where is Sport Rehab Chiro P.C. located?

Sport Rehab Chiro P.C. is located at 204 Tom Hunter Rd, Fort Lee, NJ 07024. The listed phone number is (201) 220-2245.

What is Sport Rehab Chiro P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Sport Rehab Chiro P.C. enrolled in Medicare?

Yes. Sport Rehab Chiro P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sport Rehab Chiro P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Sport Rehab Chiro P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sport Rehab Chiro P.C. was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.