Active NPI
Jr Physical Therapy
- Physical Therapist
- Palisades Park, NJ
National Provider Identifier
1346976974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
- Last updated
- Apr 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Junho Roh, DPT
- Title
- Physical Therapist
- Phone
- (201) 289-7807
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
570 Piermont Rd
#A71
Closter, NJ 07624
Phone (201) 289-7807
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.
-
- Physical Therapist
- Union, NJ
- NPI 1215432976
-
- Chiropractor
- Palisades Park, NJ
- NPI 1144919721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745193600000",
"number": "1346976974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 RIVERDALE DR",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245215",
"telephone_number": "201-289-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 BRINKERHOFF TER 2ND FL",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "076501101",
"telephone_number": "201-313-1212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JR PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-26",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A",
"authorized_official_last_name": "ROH",
"authorized_official_first_name": "JUNHO",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "201-289-7807",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palisades Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.