Total Activcore PC

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

Legal business name

TOTAL ACTIVCORE PC

Practice address

719 Route 206 Ste 104
Hillsborough, NJ 08844-1529

Phone

(908) 262-7401

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Nicholas Ryan PasseNPI 1366798308

Title

Physical Therapist

Phone

(908) 872-5133

Specialties & licenses 1

Addresses

Other names 1

• Functional Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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

• Nicholas Ryan Passe, DPT

  • Physical Therapist
  • Princeton, NJ
  • NPI 1366798308
  Medicare reassignment NPD Authorized official
• Anastasios Bouziotis, MSPT

  • Physical Medicine & Rehabilitation Physician
  • Hillsborough, NJ
  • NPI 1063483196
  NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1023624012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 ROUTE 206 STE 104",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441529",
            "telephone_number": "908-262-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 ROUTE 206 STE 104",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441529",
            "telephone_number": "908-262-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ACTIVCORE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "PASSE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "908-872-5133"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer To, DMD
• Thomas John Tompkins, DDS
• Katarina Elizabeth Tonks
• Cassandra Torter
• Laura M Toscano, MA, CCC-SLP
• Total Care Physical Therapy, P.C.
• James E Tovey, MD
• Towanda Michel'S Beauty Well LLC
• Towne Centre Family Care PA
• Towne Centre Family Dental

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.