Mountainside Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOUNTAINSIDE PHYSICAL THERAPY LLC

Practice address

1450 Route 22
Mountainside, NJ 07092-2619

Phone

(201) 303-5608

NPI assigned

Jun 9, 2020

Last updated

Jun 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Fitzgerald, PT, DPTNPI 1053460444

Title

Owner

Phone

(201) 303-5608

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Fitzgerald, PT

  • Physical Therapist
  • Berkeley Heights, NJ
  • NPI 1053460444
  NPD Authorized official
• Nicholas Matthes

  • Physical Therapist
  • Mountainside, NJ
  • NPI 1427506898
  NPD

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1083239800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ROUTE 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ROUTE 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922619",
            "telephone_number": "201-303-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-303-5608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Motz, CHHC
• Mountainside Crossing Family Dental
• Mountainside Dental Group (Mountainside Family Dental)
• Mountainside Neuropsychology, LLC
• Mountainside Nursing and Rehab BHC Operations
• Mountainside Rescue Squad Borough of Mountainside, N.J. (Mountainside Rescue Squad)
• Mountainside Smiles
• Mountainside Wellness, LLC
• Jennifer C Muhs, OTR
• Stephanie Munoz

• Physical Therapy Clinic/Center in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.