Brunswick Physical Therapy Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01624900 Issued in NJ

Legal business name

BRUNSWICK PHYSICAL THERAPY CENTER

Practice address

151 Livingston Ave
New Brunswick, NJ 08901-2939

Phone

(732) 565-1701

Fax

(732) 565-1710

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Blessen Abraham, DC

Title

Manager

Phone

(732) 565-1701

Specialties & licenses 1

Addresses

Tax ID family

Brunswick Physical Therapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brunswick Physical Therapy Center

  • Physical Therapist
  • New Brunswick, NJ
  • NPI 1508047135
  NPD tax ID

Locations

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1073067690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 LIVINGSTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012939",
            "telephone_number": "732-565-1701",
            "fax_number": "732-565-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 LIVINGSTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012939",
            "telephone_number": "732-565-1701",
            "fax_number": "732-565-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "BLESSEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-565-1701",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01624900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brunswick Dental Studio
• Brunswick Diagnostics Associates LLC
• Brunswick Health Center
• Brunswick Orthopaedic Associates, P a
• Brunswick Pathology Associates LLC
• Brunswick Physical Therapy Center
• Brunswick Spine Care, L.L.C.
• Kristen Joy Bryant, APN
• Christopher John Bryczkowski, M.D.
• Joshua Thomas Bucher, M.D.

• Physical Therapist in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.