Organization Active NPI

Action Physical Therapy & Sports Rehabilitation Inc

  • Physical Therapist
  • Totowa, NJ
National Provider Identifier
1033140819
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTION PHYSICAL THERAPY & SPORTS REHABILITATION INC
Practice address
79 Union Blvd
Totowa, NJ 07512-2739
Phone
(973) 956-7807
Fax
(973) 956-7808
NPI assigned
Jul 6, 2006
Last updated
Jan 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Mr. Leonard Pierro Jr., PTNPI 1538190301
Title
Owner
Phone
(973) 956-7807

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

79 Union Blvd
Totowa, NJ 07512-2739

Mailing address

79 Union Blvd
Totowa, NJ 07512-2739
Phone (973) 956-7807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130114000090 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557514064 Receives reassigned benefits from 2 practitioners
Practice locations: Totowa, NJ

National Provider Directory

National Provider Directory

Locations

79 Union Blvd
Totowa, NJ 07512
Phone (973) 790-5005

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1033140819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122739",
            "telephone_number": "973-956-7807",
            "fax_number": "973-956-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122739",
            "telephone_number": "973-956-7807",
            "fax_number": "973-956-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION PHYSICAL THERAPY & SPORTS REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "PIERRO",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-956-7807",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.