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Ivyrehab Network Inc

NPI 1497352041ActiveOrganization· Physical Therapist· Raritan, NJ

Physical Therapist in Raritan, New Jersey, registered in NPPES in October 2020. The authorized official on file is Michael Rucker, Ceo. Enrolled in Medicare as dme supplier - independently-practicing occupational therapist.

Overview

NPI1497352041
StatusActive
Entity typeOrganization
NPI issuedOct 7, 2020
Last updated in NPPESAug 12, 2022
Certified by providerAug 12, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Independently-Practicing Occupational Therapist (NJ)

Medicare sources and data years

Other physical therapists in Raritan

All 18 physical therapists in Raritan · All physical therapists in New Jersey