Organization Active NPI

East Coast Physical Therapy, PC

  • Physical Therapist
  • Denville, NJ
National Provider Identifier
1336247220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00422700 Issued in NJ
Legal business name
EAST COAST PHYSICAL THERAPY, PC
Practice address
3155 State Route 10
Suite 112
Denville, NJ 07834-3492
Phone
(973) 366-2600
Fax
(973) 366-7874
NPI assigned
Sep 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Vincent J. Conca, P.T.NPI 1326065376
Title
President
Phone
(973) 366-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00422700 NJ Primary

Addresses

Primary practice location

3155 State Route 10
Suite 112
Denville, NJ 07834-3492

Mailing address

3155 State Route 10
Suite 112
Denville, NJ 07834-3492
Phone (973) 366-2600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336247220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 STATE ROUTE 10",
            "address_2": "SUITE 112",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343492",
            "telephone_number": "973-366-2600",
            "fax_number": "973-366-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 STATE ROUTE 10",
            "address_2": "SUITE 112",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343492",
            "telephone_number": "973-366-2600",
            "fax_number": "973-366-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONCA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-366-2600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00422700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.