Organization Active NPI

Advance Physical Therapy & Rehabilitation LLC

  • Physical Therapist
  • Morganville, NJ
National Provider Identifier
1023317401
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADVANCE PHYSICAL THERAPY & REHABILITATION LLC
Practice address
21 Kilmer Dr
BLDG. 2 Suite D
Morganville, NJ 07751-1571
Phone
(732) 589-0880
Fax
(732) 387-8788
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mrs. Emilia Velazquez, MSPT
Title
Managing Member
Phone
(732) 589-0880

Specialties & licenses 1

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

Addresses

Primary practice location

21 Kilmer Dr
BLDG. 2 Suite D
Morganville, NJ 07751-1571

Mailing address

401 McDowell Dr
East Brunswick, NJ 08816-4084
Phone (732) 589-0880

National Provider Directory

National Provider Directory

Locations

21 Kilmer Dr
Ste D
Morganville, NJ 07751
Phone (732) 440-8185

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1023317401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MCDOWELL DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164084",
            "telephone_number": "732-589-0880",
            "fax_number": "732-387-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 KILMER DR",
            "address_2": "BLDG. 2 SUITE D",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511571",
            "telephone_number": "732-589-0880",
            "fax_number": "732-387-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PHYSICAL THERAPY & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-589-0880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.