Organization Active NPI

PT Services

  • Orthopedic Physical Therapist
  • Chatham, NJ
National Provider Identifier
1275958449
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA00996900 Issued in NJ
Legal business name
PT SERVICES
Practice address
216 Shunpike Rd
Chatham, NJ 07928-1855
Phone
(201) 600-5898
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Astaire PerezNPI 1447226246
Title
Owner
Phone
(201) 600-5898

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 40QA00996900 NJ Primary

Addresses

Primary practice location

216 Shunpike Rd
Chatham, NJ 07928-1855

Mailing address

216 Shunpike Rd
Chatham, NJ 07928-1855
Phone (201) 600-5898

Other identifiers 1

IdentifierTypeStateIssuer
091667OtherNJMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140908001043 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537387428 Receives reassigned benefits from 6 practitioners
Practice locations: Berkeley Heights, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1275958449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SHUNPIKE RD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281855",
            "telephone_number": "201-600-5898",
            "fax_number": "201-604-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SHUNPIKE RD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281855",
            "telephone_number": "201-600-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ASTAIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-600-5898"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00996900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "091667",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.