Organization Active NPI

Chatham Physical Therapy, P.a.

  • Physical Therapist
  • Chatham, NJ
National Provider Identifier
1326084138
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00389300 Issued in NJ
Legal business name
CHATHAM PHYSICAL THERAPY, P.A.
Practice address
14B Roosevelt Ave
Chatham, NJ 07928-2552
Phone
(973) 635-6535
Fax
(973) 635-4099
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Mrs. April Baskin Sussman, M.A., P.T.
Title
President
Phone
(973) 635-6535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA00389300 NJ Primary

Addresses

Primary practice location

14B Roosevelt Ave
Chatham, NJ 07928-2552

Mailing address

14B Roosevelt Ave
Chatham, NJ 07928-2552
Phone (973) 635-6535

National Provider Directory

National Provider Directory

Locations

14 Roosevelt Ave
Ste B
Chatham, NJ 07928
Phone (908) 797-2888

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1326084138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14B ROOSEVELT AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282552",
            "telephone_number": "973-635-6535",
            "fax_number": "973-635-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14B ROOSEVELT AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282552",
            "telephone_number": "973-635-6535",
            "fax_number": "973-635-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM PHYSICAL THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "BASKIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-635-6535",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00389300",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 8, 2010; 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.