NPIMap

Organization Active NPI

Adapt Performance and Rehab

Doing business as Adapt Physical Therapy

  • Physical Therapy Clinic/Center
  • Montclair, NJ
National Provider Identifier
1306372719
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01640300 Issued in NJ
Legal business name
ADAPT PERFORMANCE AND REHAB
Doing business as
Adapt Physical Therapy
Practice address
8 Lackawanna PLZ Ste a
Montclair, NJ 07042-3604
Phone
(973) 319-4015
NPI assigned
May 4, 2017
Last updated
Sep 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Dr. Adapt Physical Therapy, PT, DPT, CAFS, CIDN
Title
Co-Founder, Physical Therapist
Phone
(973) 319-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01640300 NJ Primary

Addresses

Primary practice location

8 Lackawanna PLZ Ste a
Montclair, NJ 07042-3604

Mailing address

8 Lackawanna PLZ Ste a
Montclair, NJ 07042-3604
Phone (973) 319-4015

Other names 1

  • Adapt Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adapt Performance and Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1080 Spruce St
Ste a
Lawrence Township, NJ 08648

8 Lackawanna Plz
Ste A
Montclair, NJ 07042
Phone (201) 746-9966

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1306372719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LACKAWANNA PLZ STE A",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423604",
            "telephone_number": "973-319-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LACKAWANNA PLZ STE A",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423604",
            "telephone_number": "973-319-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPT PERFORMANCE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "THERAPY",
        "authorized_official_first_name": "ADAPT",
        "authorized_official_middle_name": "PHYSICAL",
        "authorized_official_title_or_position": "CO-FOUNDER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "973-319-4015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CAFS, CIDN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01640300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adapt Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.