Organization Active NPI

Matrix Physical Therapy,LLC

  • Physical Therapy Clinic/Center
  • Oradell, NJ
National Provider Identifier
1033105325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01179000 Issued in NJ
Legal business name
MATRIX PHYSICAL THERAPY,LLC
Practice address
222 Kinderkamack Rd
Oradell, NJ 07649-2259
Phone
(212) 794-0820
Fax
(201) 265-9817
NPI assigned
Sep 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Debra A Liebowitz, PTNPI 1629091970
Title
Owner
Phone
(212) 794-0820

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 Therapy Clinic/Center 261QP2000X 40QA01179000 NJ Primary

Addresses

Primary practice location

222 Kinderkamack Rd
Oradell, NJ 07649-2259

Mailing address

222 Kinderkamack Rd
Oradell, NJ 07649-2259
Phone (212) 794-0820

National Provider Directory

National Provider Directory

Locations

222 Kinderkamack Rd
Ste 103
Oradell, NJ 07649
Phone (201) 225-2511

222 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 225-2511

Practitioners & affiliated clinicians

Practitioners 4

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": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033105325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492259",
            "telephone_number": "212-794-0820",
            "fax_number": "201-265-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492259",
            "telephone_number": "212-794-0820",
            "fax_number": "201-265-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX PHYSICAL THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIEBOWITZ",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-794-0820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01179000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.