Precision Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01159600 Issued in NJ

Legal business name

PRECISION PHYSICAL THERAPY, INC

Practice address

15-01 Pollitt Dr
Suite 3
Fair Lawn, NJ 07410-2769

Phone

(201) 723-2703

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Yevgeny KatsnelsonNPI 1164515581

Title

President

Phone

(201) 723-2703

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yevgeny Katsnelson, PT, DPT

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1164515581
  Medicare reassignment Care Compare group NPD Authorized official
• Marzena Tarkiewicz, P.T.

  • Physical Therapist
  • Kearny, NJ
  • NPI 1528150182
  Medicare reassignment Care Compare group NPD
• Lauren E Defelice, PT, DPT

  • Physical Therapist
  • Ho Ho Kus, NJ
  • NPI 1033425186
  Medicare reassignment NPD
• Andrew Gurovich, PT, DPT

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1457822579
  Medicare reassignment NPD

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1285177378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HALCO DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 POLLITT DR",
            "address_2": "SUITE 3",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102769",
            "telephone_number": "201-723-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "YEVGENY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-723-2703"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01159600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Prendergast, MS, RD
• Joshua M Prensky, DDS
• Leonard J Press, OD

• Physical Therapy Clinic/Center in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.