Active NPI
Just 4 Kids Therapy, LLC
- Pediatric Physical Therapist
- Eatontown, NJ
National Provider Identifier
1063968386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 40QA01047900
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 40QA01047900 | NJ | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 46TR00549000 | NJ | |
| Speech-Language Pathologist | 235Z00000X | 41YS00805000 | NJ | |
| Speech-Language Pathologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Carteret, NJ
- NPI 1811081342
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.