Pro Vision Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRO VISION PHYSICAL THERAPY

Practice address

7 Rochambeau Rd
Pompton Plains, NJ 07444-1282

Phone

(973) 943-7756

NPI assigned

Sep 28, 2016

Organization subpart

No

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

Authorized official

Name

Matthew Mongiello

Title

President

Phone

(973) 943-7756

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1083163323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ROCHAMBEAU RD",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ROCHAMBEAU RD",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441282",
            "telephone_number": "973-943-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO VISION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "MONGIELLO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-943-7756"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest John Pomroy III, MSPT
• Susan Marie Popolo Becker, NURSE PRACTITIONER
• Adrienne Margaret Popovich, LCSW, MSW
• Steven Darren Potter, M.D.
• Gwen A Pra, MHA, OTR/L
• Procare Medical Transportation Corp
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Promenade Eye Care, P.a.
• Thalia K Psillakis, DMD

• Physical Therapist in Pompton Plains, NJ
• Providers in Pompton Plains, 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 Sep 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.