Ej Physical Therapy,P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01537600 Issued in NJ

Legal business name

EJ PHYSICAL THERAPY,P.C.

Practice address

463 Livingston St Ste 201
Norwood, NJ 07648-1344

Phone

(201) 602-7745

Fax

(201) 221-7744

NPI assigned

Apr 22, 2014

Reactivated

Jan 22, 2025

Organization subpart

No

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

Authorized official

Name

Eun Jin Oh, PHYSICAL THERAPISTNPI 1346421732

Title

Owner

Phone

(551) 202-9046

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Eun-Jin Oh, PT

  • Physical Therapist
  • Norwood, NJ
  • NPI 1346421732
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1114347895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VILLA CT",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481734",
            "telephone_number": "201-602-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 LIVINGSTON ST STE 201",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481344",
            "telephone_number": "201-602-7745",
            "fax_number": "201-221-7744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Villa Ct",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "NJ",
            "postal_code": "076481734",
            "country_code": "US",
            "telephone_number": "201-602-7745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EJ PHYSICAL THERAPY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "deactivation_date": "2025-01-06",
        "reactivation_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "EUN JIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-202-9046",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01537600",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CSH Norwood Licensee, LLC
• Dedicated Medical Providers LLC
• Michael Diaz, D.C.
• Margaret Kelly Downey, M.D.
• Drug Fair Norwood Pharmacy Department
• Ahmed Elsawi, PTA
• Sheila Esposito, M.A.,CCC/SLP
• Excelcare at Norwood LLC
• Eyecare First LLC
• Mary Falkenstern, M.S. SLP

• Physical Therapist in Norwood, NJ
• Providers in Norwood, 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 Jan 30, 2025; 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.