Active NPI
Big Luke LLC
- Physical Therapist
- Basking Ridge, NJ
National Provider Identifier
1124289913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.