Resurgence Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RESURGENCE PHYSICAL THERAPY LLC

Practice address

561 Bloomfield Ave
Verona, NJ 07044-1818

Phone

(973) 744-6279

Fax

(973) 200-2252

NPI assigned

May 4, 2018

Last updated

Mar 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Goodell, DPTNPI 1932625316

Title

Owner/Physical Therapist

Phone

(585) 322-5434

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan William Goodell

  • Physical Therapist
  • Verona, NJ
  • NPI 1932625316
  Medicare reassignment Care Compare group NPD Authorized official
• Lucas Motta Nogueira, PT, DPT

  • Physical Therapist
  • Toms River, NJ
  • NPI 1649938978
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1144719188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FARRAND ST APT 530",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034439",
            "telephone_number": "585-322-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441818",
            "telephone_number": "973-744-6279",
            "fax_number": "973-200-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2022-03-15",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "GOODELL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "585-322-5434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke A Raskin, BCBA
• Roberta Conrad Ratte, LCSW
• Jamie Reed
• Regina M. Budesa, PSYD, Limited Liability Company
• Res-Care New Jersey, Inc. (All Ways Caring HomeCare)
• Louis D. Richmond, PHD
• Lauren G Rispoli, MD
• Reina Rivas, LCADC AND LCSW
• Teresa Rivero, IBCLC
• Tara Riverso

• Physical Therapy Clinic/Center in Verona, NJ
• Providers in Verona, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.

Verify at the official NPI Registry.