Organization Active NPI

Visiting Therapist,LLC

  • Physical Therapist
  • Galloway, NJ
National Provider Identifier
1225153786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40QA01131900 Issued in NJ
Legal business name
VISITING THERAPIST,LLC
Practice address
113 Hastings Dr
Galloway, NJ 08205-4680
Phone
(609) 442-0896
Fax
(609) 748-1524
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Apollo V Vergara, PHYSICAL THERAPIST
Title
President
Phone
(609) 442-0896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT40QA01131900 NJ Primary

Addresses

Primary practice location

113 Hastings Dr
Galloway, NJ 08205-4680

Mailing address

113 Hastings Dr
Galloway, NJ 08205-4680
Phone (609) 442-0896

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225153786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HASTINGS DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054680",
            "telephone_number": "609-442-0896",
            "fax_number": "609-748-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HASTINGS DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054680",
            "telephone_number": "609-442-0896",
            "fax_number": "609-748-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING THERAPIST,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "APOLLO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-442-0896",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA01131900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, 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.

Verify at the official NPI Registry.