Organization Active NPI

Santa Fe Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Union City, NJ
National Provider Identifier
1174725980
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00154900 Issued in NJ
Legal business name
SANTA FE PHYSICAL THERAPY PC
Practice address
405 43Rd St
Union City, NJ 07087-5047
Phone
(201) 617-0880
Fax
(201) 617-9735
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Rosalba Rojas-CurrierNPI 1194886168
Title
P.T.M.a
Phone
(201) 617-0880

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 40QA00154900 NJ Primary

Addresses

Primary practice location

405 43Rd St
Union City, NJ 07087-5047

Mailing address

405 43Rd St
Union City, NJ 07087-5047
Phone (201) 617-0880

Other identifiers 1

IdentifierTypeStateIssuer
111736OtherNJMEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070606000626 NJ Part B Supplier - Clinic/Group Practice 6103924683 Receives reassigned benefits from 1 practitioner
Practice locations: Union City, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1174725980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 43RD ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875047",
            "telephone_number": "201-617-0880",
            "fax_number": "201-617-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 43RD ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875047",
            "telephone_number": "201-617-0880",
            "fax_number": "201-617-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "ROJAS-CURRIER",
        "authorized_official_first_name": "ROSALBA",
        "authorized_official_title_or_position": "P.T.M.A",
        "authorized_official_telephone_number": "201-617-0880"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00154900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "111736",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.