NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Revolutionary Rehab Wellness Corp

Physical Therapy Clinic/Center in East Rutherford, NJ · enumerated 2014 · authorized official Daniel Mercado, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659785061

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Revolutionary Rehab Wellness Corp
Practice address 138 Park Ave, East Rutherford, NJ, 07073
Fax (201) 203-1748
Enumeration date Jun 12, 2014
Last updated in NPPES Jun 12, 2014

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License 40QA00805300 (NJ) Primary

Authorized official

Name Daniel Mercado
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Revolutionary Rehab Wellness Corp?
Revolutionary Rehab Wellness Corp is registered in NPPES as a Physical Therapy Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-12.