Active NPI
Drayer Physical Therapy of New Jersey LLC
- Physical Therapist
- Ledgewood, NJ
National Provider Identifier
1114680782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- DRAYER PHYSICAL THERAPY OF NEW JERSEY LLC
- Practice address
- 1070 US Highway 46 Ste 7
Ledgewood, NJ 07852-9701 - Phone
- (973) 996-4767
- Fax
- (973) 233-5958
- NPI assigned
- Oct 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Barganier
- Title
- Cfo
- Phone
- (205) 536-7602
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
1070 US Highway 46 Ste 7
Ledgewood, NJ 07852-9701
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634688000000",
"number": "1114680782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 US HIGHWAY 46 STE 7",
"city": "LEDGEWOOD",
"state": "NJ",
"postal_code": "078529701",
"telephone_number": "973-996-4767",
"fax_number": "973-233-5958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAYER PHYSICAL THERAPY OF NEW JERSEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "BARGANIER",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "205-536-7602"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ledgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.