Organization Active NPI

Big Luke LLC

  • Physical Therapist
  • Basking Ridge, NJ
National Provider Identifier
1124289913
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BIG LUKE LLC
Practice address
413 King George Rd
Suite 204
Basking Ridge, NJ 07920-2816
Phone
(908) 903-0100
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mrs. Renee A Fischer, P.T.
Title
Owner
Phone
(908) 903-0100

Specialties & licenses 1

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

Addresses

Primary practice location

413 King George Rd
Suite 204
Basking Ridge, NJ 07920-2816

Mailing address

413 King George Rd
Suite 204
Basking Ridge, NJ 07920-2816
Phone (908) 903-0100

Other names 1

  • Action Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

413 King George Rd
Ste 204
Basking Ridge, NJ 07920
Phone (908) 903-0100

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1124289913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 KING GEORGE RD",
            "address_2": "SUITE 204",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202816",
            "telephone_number": "908-903-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 KING GEORGE RD",
            "address_2": "SUITE 204",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202816",
            "telephone_number": "908-903-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG LUKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-903-0100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Action Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.