NPIMap

Organization Active NPI

Next Level Sports Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Woodcliff Lake, NJ
National Provider Identifier
1154875110
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00932 Issued in NJ
Legal business name
NEXT LEVEL SPORTS PHYSICAL THERAPY, LLC
Practice address
123 Broadway
Woodcliff Lake, NJ 07677-8038
Phone
(201) 746-9966
Fax
(866) 676-0079
NPI assigned
Aug 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Dr. Jerome Yoo, DPTNPI 1215917547
Title
President/Owner
Phone
(201) 746-9966

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00932 NJ Primary

Addresses

Primary practice location

123 Broadway
Woodcliff Lake, NJ 07677-8038

Mailing address

123 Broadway
Woodcliff Lake, NJ 07677-8038
Phone (201) 746-9966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171010002622 NJ Part B Supplier - Clinic/Group Practice 2860767282 Receives reassigned benefits from 6 practitioners
Practice locations: Woodcliff Lake, NJ

National Provider Directory

National Provider Directory

Locations

123 Broadway
Woodcliff Lake, NJ 07677
Phone (201) 642-2503

123 Broadway
Ste 1
Woodcliff Lk, NJ 07677
Phone (201) 746-9966

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1154875110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BROADWAY",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778038",
            "telephone_number": "201-746-9966",
            "fax_number": "866-676-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BROADWAY",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778038",
            "telephone_number": "201-746-9966",
            "fax_number": "866-676-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL SPORTS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "201-746-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.