CJ Physical Therapy and Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3895 Issued in NH

Legal business name

CJ PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

34 Fabyan PT
Newington, NH 03801-2756

Phone

(617) 545-7505

NPI assigned

Sep 23, 2014

Organization subpart

No

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

Authorized official

Name

Carrie Jose

Title

Physical Therapist/Owner

Phone

(617) 545-7505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1215339163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VAUGHAN MALL",
            "address_2": "SUITE 216",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 FABYAN PT",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038012756",
            "telephone_number": "617-545-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "617-545-7505"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NH",
            "license": "3895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc P Brown, DDS
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• Isabelle Cerundolo, OTR
• Jack Chan, MD
• Nicole Chetsas
• Christine Clarke-Swift
• Coastal Surgical Center, LLC
• Erin E Conlan, MS ED, BCBA
• Amy M Coombs, ARNP
• Jenna Dalton

• Physical Therapy Clinic/Center in Newington, NH
• Providers in Newington, NH by specialty
• Physical Therapy Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.