Organization Active NPI

Just 4 Kids Therapy, LLC

  • Pediatric Physical Therapist
  • Eatontown, NJ
National Provider Identifier
1063968386
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
40QA01047900 Issued in NJ
Legal business name
JUST 4 KIDS THERAPY, LLC
Practice address
30-40 Corbett Way
Eatontown, NJ 07724-9999
Phone
(908) 675-0128
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Mrs. Melissa Makower, PT
Title
Director of Rehabilitation
Phone
(908) 675-0123

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 40QA01047900 NJ Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 46TR00549000 NJ
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 41YS00805000 NJ
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 41YS00630900 NJ

Addresses

Primary practice location

30-40 Corbett Way
Eatontown, NJ 07724-9999

Mailing address

9 Almark Ter
Ocean, NJ 07712-3217
Phone (908) 675-0128

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1063968386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ALMARK TER",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123217",
            "telephone_number": "908-675-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-40 CORBETT WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077249999",
            "telephone_number": "908-675-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST 4 KIDS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "MAKOWER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF REHABILITATION",
        "authorized_official_telephone_number": "908-675-0123",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA01047900",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00549000",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00805000",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00630900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.