Professional Orthopedic and Sports Physical Therapy of NJ, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC

Practice address

3053 US Highway 46
C/O Blink Fitness
Parsippany, NJ 07054-1233

Phone

(908) 999-9999

NPI assigned

Nov 27, 2013

Last updated

Mar 30, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

PROFESSIONL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, PCAs reported in NPPES

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

Authorized official

Name

Helen Agrelo

Title

Exec Director, Business Operations

Phone

(516) 321-2424

Specialties & licenses 1

Addresses

Part of

Professional Orthopedic Sports PT

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1033549167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "516-321-2400",
            "fax_number": "516-321-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 US HIGHWAY 46",
            "address_2": "C/O BLINK FITNESS",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541233",
            "telephone_number": "908-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, PC",
        "enumeration_date": "2013-11-27",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "AGRELO",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "EXEC DIRECTOR, BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "516-321-2424"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priority Care Acupuncture & Integrative Medicine LLC (Priority care acupuncture & Integrative Medicine)
• Pro Healthcare and Rehab PT LLC (Procare Physical Therapy)
• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Prosthodent P.C.
• Gina Grace Puglisi, MD
• Anil Puligilla, RPH
• Yamilee Pulla Maxi
• Chantell Puryear

• Physical Therapy Clinic/Center in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.