Organization Active NPI

Vitalize Physical Therapy & Sports Rehab

  • Physical Therapy Clinic/Center
  • Manalapan, NJ
National Provider Identifier
1215600937
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VITALIZE PHYSICAL THERAPY & SPORTS REHAB
Practice address
520 US Highway 9
Manalapan, NJ 07726-8264
Phone
(908) 307-8442
NPI assigned
Jul 28, 2021
Last updated
Jul 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
George Eskander, PT, DPTNPI 1174083182
Title
Owner/Ceo
Phone
(908) 307-8442

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 Primary

Addresses

Primary practice location

520 US Highway 9
Manalapan, NJ 07726-8264

Mailing address

9 Edinburg LN
East Brunswick, NJ 08816-5242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211207000088 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234529223 Receives reassigned benefits from 1 practitioner
Practice locations: Freehold, NJ; Manalapan, NJ

National Provider Directory

National Provider Directory

Locations

520 US Highway 9
Manalapan, NJ 07726
Phone (908) 307-8442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1215600937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EDINBURG LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 US HIGHWAY 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268264",
            "telephone_number": "908-307-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIZE PHYSICAL THERAPY & SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "ESKANDER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "908-307-8442",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.