Organization Active NPI

Paragon Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Little Falls, NJ
National Provider Identifier
1255613709
Registry record updated Dec 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01178800 Issued in NJ
Legal business name
PARAGON PHYSICAL THERAPY, LLC
Practice address
101 Newark Pompton Tpke
Suite 1
Little Falls, NJ 07424-1167
Phone
(201) 450-7820
NPI assigned
Sep 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2011

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

Authorized official

Name
Ms. Katherine L Cwiklinski, PTNPI 1427188903
Title
Physical Therapist
Phone
(201) 450-7820

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 40QA01178800 NJ Primary

Addresses

Primary practice location

101 Newark Pompton Tpke
Suite 1
Little Falls, NJ 07424-1167

Mailing address

101 Newark Pompton Tpke
Suite 1
Little Falls, NJ 07424-1167
Phone (201) 450-7820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120103000569 NJ Part B Supplier - Clinic/Group Practice 6709052392 Receives reassigned benefits from 7 practitioners
Practice locations: Little Falls, NJ

National Provider Directory

National Provider Directory

Locations

101 Newark Pompton Tpke
Ste 1
Little Falls, NJ 07424
Phone (201) 450-7820

101 Newark Pompton Tpke
Ste 10
Little Falls, NJ 07424
Phone (973) 928-1950

Practitioners & affiliated clinicians

Practitioners 7

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": "1315699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323475200000",
    "number": "1255613709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NEWARK POMPTON TPKE",
            "address_2": "SUITE 1",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241167",
            "telephone_number": "201-450-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NEWARK POMPTON TPKE",
            "address_2": "SUITE 1",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241167",
            "telephone_number": "201-450-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-11",
        "last_updated": "2011-12-10",
        "status": "A",
        "authorized_official_last_name": "CWIKLINSKI",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-450-7820",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01178800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2011; 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.