Organization Active NPI

Range of Motion Physical Therapy, P.a.

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1053523084
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01658800 Issued in NJ
Legal business name
RANGE OF MOTION PHYSICAL THERAPY, P.A.
Practice address
4 Cornwall Dr
Suite 220
East Brunswick, NJ 08816-3332
Phone
(732) 257-0900
Fax
(732) 257-5099
NPI assigned
May 3, 2007
Last updated
Apr 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Sean W Waters, MSPT
Title
Owner
Phone
(732) 257-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01658800 NJ Primary

Addresses

Primary practice location

4 Cornwall Dr
Suite 220
East Brunswick, NJ 08816-3332

Mailing address

4 Cornwall Dr
Suite 220
East Brunswick, NJ 08816-3332
Phone (732) 257-0900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1053523084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CORNWALL DR",
            "address_2": "SUITE 220",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163332",
            "telephone_number": "732-257-0900",
            "fax_number": "732-257-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORNWALL DR",
            "address_2": "SUITE 220",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163332",
            "telephone_number": "732-257-0900",
            "fax_number": "732-257-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGE OF MOTION PHYSICAL THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-257-0900",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01658800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.