NPIMap

Organization Active NPI

Physiopros Performance and Rehabilitation LLC

Doing business as Physiopros Performance Rehab

  • Physical Therapist
  • Parsippany, NJ
National Provider Identifier
1093385676
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIOPROS PERFORMANCE AND REHABILITATION LLC
Doing business as
Physiopros Performance Rehab
Practice address
3799 Route 46 Ste 110
Parsippany, NJ 07054-1060
Phone
(973) 713-3805
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Jeffrey Long, DPTNPI 1497224935
Title
Owner
Phone
(973) 713-3805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3799 Route 46 Ste 110
Parsippany, NJ 07054-1060

Mailing address

3799 Route 46 Ste 110
Parsippany, NJ 07054-1060
Phone (973) 265-8621

Other names 1

  • Physiopros Performance Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220601000049 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365820503 Receives reassigned benefits from 6 practitioners
Practice locations: Parsippany, NJ

National Provider Directory

National Provider Directory

Locations

3799 US Highway 46
Ste 110
Parsippany, NJ 07054
Phone (724) 381-1313

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1093385676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3799 ROUTE 46 STE 110",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541060",
            "telephone_number": "973-265-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 ROUTE 46 STE 110",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541060",
            "telephone_number": "973-713-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOPROS PERFORMANCE AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-713-3805",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physiopros Performance Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.