# IVYREHAB NETWORK INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174577274
- **Authorized official:** MICHAEL RUCKER (CEO)
- **Authorized official phone:** (914) 777-8700

## Contact information

- **Practice address:** 79 HUDSON ST, HOBOKEN, NJ 07030-5602
- **Practice address phone:** (201) 792-1170
- **Practice address fax:** (201) 792-1171
- **Mailing address:** 1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
- **Mailing address phone:** (914) 294-4050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NJ | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 08/12/2022