Jorge Gutierrez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA1422000 Issued in NJ

Practice address

1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100

Phone

(973) 831-3670

Fax

(973) 831-3671

NPI assigned

Sep 12, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1013342856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CEDAR CREST VILLAGE DR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442100",
            "telephone_number": "973-831-3670",
            "fax_number": "973-831-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CEDAR CREST VILLAGE DR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442100",
            "telephone_number": "973-831-3670",
            "fax_number": "973-831-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JORGE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA1422000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuhal Gokturk, MD
• Jacob R Goldberg, MD
• Mary-Margaret Gray, PT
• Great Atlantic & Pacific Tea Company Inc
• Louis Carmen Gubitosa, DMD
• Monika Gutierrez, DPT
• Scott Jonathan Haarburger, DO
• Jordan Haber, DO
• Lauren Anne Habermas, BCBA
• Habib Habib

• Physical Therapist in Pompton Plains, NJ
• Providers in Pompton Plains, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.