Organization Active NPI

Spine & Orthopaedic Physical Therapy Center of New Jersey, PA

Doing business as Spine & Ortho PT Center

  • Orthopedic Physical Therapist
  • Hillsborough, NJ
National Provider Identifier
1063550085
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SPINE & ORTHOPAEDIC PHYSICAL THERAPY CENTER OF NEW JERSEY, PA
Doing business as
Spine & Ortho PT Center
Practice address
390 Amwell Rd Ste 101
Hillsborough, NJ 08844-1226
Phone
(908) 725-9595
Fax
(908) 725-9803
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Frank Previte, MPT CERT MDTNPI 1710025945
Title
Director
Phone
(908) 725-9595

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

390 Amwell Rd Ste 101
Hillsborough, NJ 08844-1226

Mailing address

390 Amwell Rd Ste 101
Hillsborough, NJ 08844-1226
Phone (908) 725-9595

Other names 1

  • SPINE & ORTHO PT CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091022000379 NJ Part B Supplier - Clinic/Group Practice 1850333782 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsborough, NJ

National Provider Directory

National Provider Directory

Locations

1130 Route 202
Ste 2
Raritan, NJ 08869
Phone (908) 725-9595

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1063550085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD STE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441226",
            "telephone_number": "908-725-9595",
            "fax_number": "908-725-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD STE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441226",
            "telephone_number": "908-725-9595",
            "fax_number": "908-725-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & ORTHOPAEDIC PHYSICAL THERAPY CENTER OF NEW JERSEY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "PREVITE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-725-9595",
        "authorized_official_credential": "MPT CERT MDT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPINE & ORTHO PT CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPINE & ORTHO PT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.