Organization Active NPI

Torq Physical Therapy & Associates

  • Physical Therapist
  • Riverton, NJ
National Provider Identifier
1235736299
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TORQ PHYSICAL THERAPY & ASSOCIATES
Practice address
600 Main St Ste 8
Riverton, NJ 08077-1400
Phone
(856) 360-5630
NPI assigned
Oct 2, 2020
Last updated
Oct 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Alexander Miscannon, PT, DPTNPI 1750939799
Title
President, Physical Therapist
Phone
(856) 360-8530

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

600 Main St Ste 8
Riverton, NJ 08077-1400

Mailing address

600 Main St Ste 8
Riverton, NJ 08077-1400
Phone (856) 360-5630

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210922001912 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315344074 Receives reassigned benefits from 2 practitioners
Practice locations: Riverton, NJ

National Provider Directory

National Provider Directory

Locations

600 Main St
Ste 8
Riverton, NJ 08077
Phone (215) 431-0968

Practitioners & affiliated clinicians

Practitioners 2

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": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1235736299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAIN ST STE 8",
            "city": "RIVERTON",
            "state": "NJ",
            "postal_code": "080771400",
            "telephone_number": "856-360-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN ST STE 8",
            "city": "RIVERTON",
            "state": "NJ",
            "postal_code": "080771400",
            "telephone_number": "856-360-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORQ PHYSICAL THERAPY & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "MISCANNON",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "856-360-8530",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.