NPIMap

Organization Active NPI

Dupree Physical Therapy and Sports Medicine, LLC

  • Specialist
  • Hackensack, NJ
National Provider Identifier
1093125700
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA01113900 Issued in NJ
Legal business name
DUPREE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Practice address
90 Prospect Ave
3B
Hackensack, NJ 07601-1909
Phone
(201) 693-0974
Fax
(201) 546-1969
NPI assigned
May 2, 2014
Last updated
May 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Kimberly Dupree, PT, MS
Title
Owner/ Physical Therapist
Phone
(201) 693-0974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 40QA01113900 NJ Primary

Addresses

Primary practice location

90 Prospect Ave
3B
Hackensack, NJ 07601-1909

Mailing address

90 Prospect Ave
3B
Hackensack, NJ 07601-1909
Phone (201) 693-0974

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1093125700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PROSPECT AVE",
            "address_2": "3B",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011909",
            "telephone_number": "201-693-0974",
            "fax_number": "201-546-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PROSPECT AVE",
            "address_2": "3B",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011909",
            "telephone_number": "201-693-0974",
            "fax_number": "201-546-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPREE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-693-0974",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01113900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.