Organization Active NPI

Ta Washington

  • Physical Therapy Clinic/Center
  • West Orange, NJ
National Provider Identifier
1265197222
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TA WASHINGTON
Practice address
176 Gregory Ave
West Orange, NJ 07052-4620
Phone
(973) 803-2063
NPI assigned
Nov 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Mr. Tolan Washington, PT/CNNPI 1487223970
Title
Founder
Phone
(973) 803-2063

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

176 Gregory Ave
West Orange, NJ 07052-4620

Mailing address

176 Gregory Ave
West Orange, NJ 07052-4620
Phone (973) 803-2063

Other names 1

  • Peakfitnessplus Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1265197222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 GREGORY AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524620",
            "telephone_number": "973-803-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 GREGORY AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524620",
            "telephone_number": "973-803-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TA WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "TOLAN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "973-803-2063",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT/CN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peakfitnessplus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.