Organization Active NPI

JC Physical Therapy LLC

  • Physical Therapist
  • Dumont, NJ
National Provider Identifier
1013668672
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JC PHYSICAL THERAPY LLC
Practice address
16 Walnut St
Dumont, NJ 07628-2222
Phone
(201) 220-5269
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Mrs. Jinhee Choi, PTNPI 1699948117
Title
Physical Therapist
Phone
(201) 220-5269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

16 Walnut St
Dumont, NJ 07628-2222

Mailing address

16 Walnut St
Dumont, NJ 07628-2222
Phone (201) 220-5269

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jcpt337@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220311001135 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224423165 Receives reassigned benefits from 2 practitioners
Practice locations: Englewood, NJ

National Provider Directory

National Provider Directory

Locations

25 Rockwood Pl
Ste 220
Englewood, NJ 07631
Phone (201) 408-5151

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1013668672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WALNUT ST",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076282222",
            "telephone_number": "201-220-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WALNUT ST",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076282222",
            "telephone_number": "201-220-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JINHEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-220-5269",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jcpt337@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16 Walnut St",
            "city": "Dumont",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076282222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.