Organization Active NPI

Wayne Physical Therapy & Spine Center

  • Physical Therapy Clinic/Center
  • Pompton Lakes, NJ
National Provider Identifier
1255413498
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WAYNE PHYSICAL THERAPY & SPINE CENTER
Practice address
223 Wanaque Ave
Suite 302
Pompton Lakes, NJ 07442-2103
Phone
(973) 839-6801
Fax
(973) 839-7293
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Mr. Barry Inglett, PT CHT CERT MDT
Title
Co-Owner
Phone
(973) 839-6801

Specialties & licenses 1

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

Addresses

Primary practice location

223 Wanaque Ave
Suite 302
Pompton Lakes, NJ 07442-2103

Mailing address

223 Wanaque Ave
Suite 302
Pompton Lakes, NJ 07442-2103
Phone (973) 839-6801

Other names 1

  • Inglett & Laico Former legal business name

National Provider Directory

National Provider Directory

Locations

223 Wanaque Ave
Ste 302
Pompton Lakes, NJ 07442
Phone (201) 839-6801

735 Hamburg Tpke
Pompton Lakes, NJ 07442
Phone (973) 839-6801

1211 Hamburg Tpke
Ste 324
Wayne, NJ 07470
Phone (973) 839-6801

Practitioners & affiliated clinicians

Practitioners 4

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1255413498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WANAQUE AVE",
            "address_2": "SUITE 302",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422103",
            "telephone_number": "973-839-6801",
            "fax_number": "973-839-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WANAQUE AVE",
            "address_2": "SUITE 302",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422103",
            "telephone_number": "973-839-6801",
            "fax_number": "973-839-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE PHYSICAL THERAPY & SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "INGLETT",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "973-839-6801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT CHT CERT MDT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inglett & Laico",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.