Active NPI
Complete Care Physical Therapy
- Physical Therapy Clinic/Center
- Fair Lawn, NJ
National Provider Identifier
1124271747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 40QA01120400
- Legal business name
- COMPLETE CARE PHYSICAL THERAPY
- Practice address
- 8-14 Saddle River Rd
Fair Lawn, NJ 07410-5733 - Phone
- (201) 773-0404
- Fax
- (201) 773-0405
- NPI assigned
- Oct 28, 2008
- 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
- Mrs. Judy Quizon, PT
- Title
- Physical Therapist
- Phone
- (201) 773-0404
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | 40QA01120400 | NJ | Primary |
Addresses
Primary practice location
8-14 Saddle River Rd
Fair Lawn, NJ 07410-5733
Mailing address
8-14 Saddle River Rd
Fair Lawn, NJ 07410-5733
Phone (201) 773-0404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659579456 | Other | NPPES | |
| 1124271747 | Other | NPPES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5-11 Saddle River Rd
Ste 3
Fair Lawn, NJ 07410
8-14 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 773-0404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fair Lawn, NJ
- NPI 1659579456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604620800000",
"number": "1124271747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8-14 SADDLE RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105733",
"telephone_number": "201-773-0404",
"fax_number": "201-773-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8-14 SADDLE RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105733",
"telephone_number": "201-773-0404",
"fax_number": "201-773-0405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE CARE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A",
"authorized_official_last_name": "QUIZON",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "201-773-0404",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NJ",
"license": "40QA01120400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1659579456",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1124271747",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.