Active NPI
Professional Orthopedic and Sports Physical Therapy of NJ, LLC
- Physical Therapist
- Hazlet, NJ
National Provider Identifier
1265988042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC
- Practice address
- 226 Middle Rd
Hazlet, NJ 07730-1945 - Phone
- (732) 888-9889
- Fax
- (732) 888-9897
- NPI assigned
- Aug 31, 2016
- Organization subpart
- Yes
- Parent organization
- PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Brush
- Title
- Credentialing Coordinator Manager
- Phone
- (631) 359-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
226 Middle Rd
Hazlet, NJ 07730-1945
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859
National Provider Directory
National Provider Directory- Part of
- Professional Orthopedic and Sports Physical Therapy PC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Physical Therapist
- Montville, NJ
- NPI 1700387966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522108800000",
"number": "1265988042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117475002",
"telephone_number": "631-359-5859",
"fax_number": "631-396-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 MIDDLE RD",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301945",
"telephone_number": "732-888-9889",
"fax_number": "732-888-9897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C.",
"enumeration_date": "2016-08-31",
"last_updated": "2018-03-27",
"status": "A",
"authorized_official_last_name": "BRUSH",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR MANAGER",
"authorized_official_telephone_number": "631-359-5800"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazlet, NJ
- Harsh Prajapati, DPT
- Precision Diagnostics Inc
- Precision Physical Therapy and Wellness LLC
- Adrian Michael Pristas, M.D.
- Professional Occupational & Physical Therapy, PLLC
- Progressive Strategies Inc.
- Promise Health Care Nursing Service NJ Inc
- Pulmonary and Critical Care Consultants
- Pure Physio, P.C.
- Vinutha Raj, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.