Identity Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IDENTITY PHYSICAL THERAPY LLC

Practice address

593 S Livingston Avenue
Livingston, NJ 07039-0703

Phone

(973) 577-5921

Fax

(888) 686-2968

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Joseph Ruszkowski, DPT

Title

Ceo

Phone

(973) 577-5921

Specialties & licenses 1

Addresses

Other names 1

• Joseph Ruszkowski Physical Therapy PLLC Former legal business name

Locations

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1265297642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 S LIVINGSTON AVENUE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-577-5921",
            "fax_number": "888-686-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 S LIVINGSTON AVENUE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070390703",
            "telephone_number": "973-577-5921",
            "fax_number": "888-686-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENTITY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "RUSZKOWSKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-577-5921",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph Ruszkowski Physical Therapy PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sean P Hurst, M.D.
• Komal Tahir Hussain, M.D.
• Hypertension and Renal Group, P.a.
• Christin Hywel, OTR
• Yasmine Ibrahim
• Jade Heather Igbokwe, AU.D.
• Iyen Stacey Ighodaro, DNP, FNP-BC, FNP-C
• Nico Ignozza
• Elizabeth Ijalba, CCC
• Imaging Consultants of Essex, P.a.

• Physical Therapist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.