Joshua Tebangin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01964500 Issued in NJ

Practice address

239 Millburn Ave
Millburn, NJ 07041-1718

Phone

(862) 308-0222

Fax

(862) 345-9090

NPI assigned

Oct 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1326646753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WINDSOR DR",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602324",
            "telephone_number": "973-896-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411718",
            "telephone_number": "862-308-0222",
            "fax_number": "862-345-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBANGIN",
        "first_name": "JOSHUA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01964500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Michael Taddeo
• Debra R Tarantino, M.D.
• Vincent Tavormina, DDS
• Robert L Taylor, M.D.
• Teammd at Millburn LLC
• Mariavida Tupaz Tecson, M.D.
• Barry Teich, DDS
• The Arc of Essex County, Inc.
• The Cleansing Clinic PA
• The Heart Group,P.a

• Physical Therapist in Millburn, NJ
• Providers in Millburn, 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 Oct 16, 2020; 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.