Hudson Premiere Rehabilitation & Sports Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01224200 Issued in NJ

Legal business name

HUDSON PREMIERE REHABILITATION & SPORTS THERAPY

Practice address

4800 Broadway
Suite 212
Union City, NJ 07087-6556

Phone

(917) 733-7763

NPI assigned

Apr 24, 2012

Last updated

Jun 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Gail F Frayna, PTNPI 1194998989

Title

Owner/Physical Therapist

Phone

(917) 733-7763

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Sandra Gail F Frayna, P.T.

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1194998989
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Delos Santos, OTR/L

  • Occupational Therapist
  • Union City, NJ
  • NPI 1154551414
  Medicare reassignment Care Compare group NPD
• Nicole Jacqueline Jacobs

  • Physical Therapist
  • Union City, NJ
  • NPI 1457149254
  Medicare reassignment Care Compare group NPD
• Kelsey Verblaauw

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1942881602
  Medicare reassignment NPD

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1033477450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BROADWAY",
            "address_2": "SUITE 212",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876556",
            "telephone_number": "917-733-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BROADWAY",
            "address_2": "SUITE 212",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876556",
            "telephone_number": "917-733-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON PREMIERE REHABILITATION & SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "FRAYNA",
        "authorized_official_first_name": "SANDRA GAIL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-733-7763",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01224200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hudson ABA LLC
• Hudson Hospital Opco LLC (Christ Hospital)
• Hudson Kids Therapy LLC
• Hudson Physicians Associates,P.a.
• Hudson Premier PT, LLC
• Hudson River Radiology Center LLC
• Hudson River Radiology Center LLC
• Manuel Casulla Hugo, M.D.
• Humza Pharmacy Inc. (Loyalty Pharmacy)
• Industrial Strength Fitness Physical Therapy LLC

• Physical Therapist in Union City, NJ
• Providers in Union City, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.