Jr Physical Therapy
Organization Active NPI Physical Therapist · Palisades Park, NJ
NPI 1346976974 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1346976974
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- JR PHYSICAL THERAPY
- Practice address
- 17 Brinkerhoff Ter 2ND FL
Palisades Park, NJ 07650-1101 - Phone
- (201) 313-1212
- NPI assigned
- Jul 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Junho Roh, DPT
- Title
- Physical Therapist
- Phone
- (201) 289-7807
Practitioners 2
-
Junho Roh, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230113000350 | NJ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1759752553 |
Receives reassigned benefits from 1 practitioner Practice locations: Closter, NJ; Palisades Park, NJ |
National Provider Directory
Locations
570 Piermont Rd
#D1A
Closter, NJ 07624
Phone (201) 313-1212
570 Piermont Rd
#A71
Closter, NJ 07624
Phone (201) 289-7807
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
17 Brinkerhoff Ter 2ND FL
Palisades Park, NJ 07650-1101
Mailing address
210 Riverdale Dr
Fort Lee, NJ 07024-5215
Phone (201) 289-7807
Other providers in Palisades Park, NJ
- Jin Pharmacy LLC
- Jinyoung Sarah Jin
- Peter Hyungbaik Jin
- Wenji Jin
- Jeannie S Joo
- JSP Chiropractic LLC
- Daniel Jung
- Hae Y Jung
- Kyonghwa Jung
- Richard K Jung
All providers in Palisades Park, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.