Maximum Performance Physical Therapy and Sports Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01259400 Issued in NJ

Legal business name

MAXIMUM PERFORMANCE PHYSICAL THERAPY AND SPORTS REHABILITATION

Practice address

170 Schuyler Ave Ste 3
North Arlington, NJ 07031-5425

Phone

(201) 991-3800

Fax

(201) 991-4800

NPI assigned

Jul 24, 2012

Organization subpart

Yes

Parent organization

MAXIMUM PERFORMANCE PHYSICAL THERAPY AND SPORTS REHABILITATIONAs reported in NPPES

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

Authorized official

Name

James J Vandien, MSPT

Title

Physical Therapist

Phone

(201) 991-3800

Specialties & licenses 1

Addresses

Part of

Max Perf Phys Ther

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1043566367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 SCHUYLER AVE",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070315412",
            "telephone_number": "201-991-3800",
            "fax_number": "201-991-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SCHUYLER AVE STE 3",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070315425",
            "telephone_number": "201-991-3800",
            "fax_number": "201-991-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM PERFORMANCE PHYSICAL THERAPY AND SPORTS REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAXIMUM PERFORMANCE PHYSICAL THERAPY AND SPORTS REHABILITATION",
        "enumeration_date": "2012-07-24",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "VANDIEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-991-3800",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01259400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel B. Cambeiro, DDS, LLC
• Mark S Waxman MD PC
• Rita Marques, RPH
• Jo-Ann Marx, M.D.
• Tina Matiatos, LCSW
• Robert McClintock Jr., BCBA, LBA
• Kevin Merjanian, PHARMD
• MH RX LLC
• Eman Mikhail
• Melanie Mollozzi, LCSW

• Physical Therapy Clinic/Center in North Arlington, NJ
• Providers in North Arlington, 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 Dec 11, 2019; 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.