Professional Orthopedic and Sports Physical Therapy of NJ, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC

Practice address

25 Prospect Ave
Hackensack, NJ 07601-1960

Phone

(201) 403-4528

Fax

(201) 225-9223

NPI assigned

Jan 1, 2013

Organization subpart

Yes

Parent organization

PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PCAs reported in NPPES

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

Authorized official

Name

Helen Agrelo

Title

Exceutive Director of Business Ops

Phone

(718) 767-0610

Specialties & licenses 1

Addresses

Part of

Professional Orthopedic and Sports Physical Therapy PC

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1144566787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5859",
            "fax_number": "631-396-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011960",
            "telephone_number": "201-403-4528",
            "fax_number": "201-225-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC",
        "enumeration_date": "2013-01-01",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "AGRELO",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "EXCEUTIVE DIRECTOR OF BUSINESS OPS",
        "authorized_official_telephone_number": "718-767-0610"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro DME Solutions LLC
• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Progress ABA Institute
• Progressive Medical Imaging of Hackensack, LLC
• Progressive Pediatric Endocrine
• Prospect Medical PC

• Physical Therapist in Hackensack, NJ
• Providers in Hackensack, 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 Mar 28, 2018; 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.