Individual provider Active NPI

Catherine E Laico, PT

  • Physical Therapist
  • Pompton Lakes, NJ
National Provider Identifier
1326093949
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA03280 Issued in NJ
Practice address
223 Wanaque Ave
Suite 302
Pompton Lakes, NJ 07442-2103
Phone
(973) 839-6801
Fax
(973) 839-7293
NPI assigned
May 23, 2006
Last updated
Jan 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA03280 NJ Primary
Orthopedic Physical Therapist 2251X0800X QA03280 NJ

Addresses

Primary practice location

223 Wanaque Ave
Suite 302
Pompton Lakes, NJ 07442-2103

Mailing address

223 Wanaque Ave
Suite 302
Pompton Lakes, NJ 07442-2103
Phone (973) 839-6801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000527 NJ Practitioner - Physical Therapist in Private Practice 4587708391 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA03280NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Jun 15, 2023 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

1211 Hamburg Tpke
Ste 324
Wayne, NJ 07470
Phone (973) 839-6801

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1326093949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WANAQUE AVE",
            "address_2": "SUITE 302",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422103",
            "telephone_number": "973-839-6801",
            "fax_number": "973-839-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WANAQUE AVE",
            "address_2": "SUITE 302",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422103",
            "telephone_number": "973-839-6801",
            "fax_number": "973-839-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAICO",
        "first_name": "CATHERINE",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA03280",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "QA03280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.