Active NPI
J&R Physical Therapy, LLC
- Physical Therapist
- Bayonne, NJ
National Provider Identifier
1164528287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00517500
- Legal business name
- J&R PHYSICAL THERAPY, LLC
- Practice address
- 415 Avenue a
Bayonne, NJ 07002-1504 - Phone
- (201) 858-0786
- Fax
- (201) 858-0786
- NPI assigned
- Sep 16, 2006
- 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
- Roger Rudzinski, P.T.
- Title
- Partner
- Phone
- (201) 858-0786
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00517500 | NJ | Primary |
Addresses
Primary practice location
415 Avenue a
Bayonne, NJ 07002-1504
Mailing address
415 Avenue a
Bayonne, NJ 07002-1504
Phone (201) 858-0786
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE9058 | Other | NJ | RAILROAD MEDICARE GROUP # |
| 2523576 | Other | NJ | UNITED HEALTHCARE ID# |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Bayonne, NJ
- NPI 1699871731
-
- Physical Therapist
- Branchburg, NJ
- NPI 1689770117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164528287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 AVENUE A",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070021504",
"telephone_number": "201-858-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 AVENUE A",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070021504",
"telephone_number": "201-858-0786",
"fax_number": "201-858-0786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J&R PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RUDZINSKI",
"authorized_official_first_name": "ROGER",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "201-858-0786",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00517500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "DE9058",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE ID#",
"identifier": "2523576",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.