Patagonia Fitness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400319126 Issued in NJ

Legal business name

PATAGONIA FITNESS LLC

Practice address

201 Marin Blvd Apt 307
Jersey City, NJ 07302-6492

Phone

(551) 486-6157

NPI assigned

Jun 30, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Marco Chiabo, PT, DPT, COMT

Title

Owner

Phone

(551) 486-6157

Specialties & licenses 3

Addresses

Practitioners 1

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

• Nina Michelle Chiabo, PT, DPT, CMPT

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1053832733
  NPD (past)

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306367248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MARIN BLVD APT 307",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073026492",
            "telephone_number": "551-486-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MARIN BLVD APT 307",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073026492",
            "telephone_number": "551-486-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATAGONIA FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHIABO",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-486-6157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, COMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029622",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01345700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "0400319126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Partners Med B, LLC
• Maria Pasahol, MA, CCC-SLP
• Lloyd Pascual
• Passaic County Integrated Healthcare
• Passaic Coutny Ingegrated Healthcare
• Amit A Patel, MD
• Anandkumar Ranjitbhai Patel, D.P.M.
• Anjali H Patel, MD
• Arjun Patel
• Ashwin Patel, R.PH

• Physical Therapist in Jersey City, NJ
• Providers in Jersey City, 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 Jul 21, 2022; 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.