NPIMap

Organization Active NPI

I&M Physical Therapy, P.C

  • Physical Therapy Clinic/Center
  • Freehold, NJ
National Provider Identifier
1184803017
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01188300 Issued in NJ
Legal business name
I&M PHYSICAL THERAPY, P.C
Practice address
41 Center St Ste 3
Freehold, NJ 07728-2220
Phone
(732) 333-0062
Fax
(732) 333-0004
NPI assigned
Oct 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Mr. Igor Voloshin, DPTNPI 1215018999
Title
President/Physical Therapist
Phone
(718) 614-6191

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01188300 NJ Primary
Physical Therapy Clinic/Center 261QP2000X 40QA01268300 NJ

Addresses

Primary practice location

41 Center St Ste 3
Freehold, NJ 07728-2220

Mailing address

16 Valley Forge LN
Morris Plains, NJ 07950-3416
Phone (718) 614-6191

National Provider Directory

National Provider Directory

Locations

41 Center St
Ste 104
Freehold, NJ 07728
Phone (732) 333-0062

41 Center St
Ste 3
Freehold, NJ 07728
Phone (732) 333-0062

1130 McBride Ave
Fl 2
Woodland Park, NJ 07424
Phone (973) 256-2340

3820 Nostrand Ave
Ste 109
Brooklyn, NY 11235

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": "1193443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1184803017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 VALLEY FORGE LN",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079503416",
            "telephone_number": "718-614-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CENTER ST STE 3",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282220",
            "telephone_number": "732-333-0062",
            "fax_number": "732-333-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I&M PHYSICAL THERAPY, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-27",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "VOLOSHIN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-614-6191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01188300",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01268300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.