Hoboken Physical Therapy and Wellness Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00991200 Issued in NJ

Legal business name

HOBOKEN PHYSICAL THERAPY AND WELLNESS CENTER

Practice address

701 Grand St
Hoboken, NJ 07030-2808

Phone

(201) 792-5300

NPI assigned

Jan 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael S Russo, M.S.P.T.NPI 1619948973

Title

Owner

Phone

(201) 792-5300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael S. Russo, DPT

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1619948973
  NPD (past) Authorized official

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356312615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GRAND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GRAND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302808",
            "telephone_number": "201-792-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBOKEN PHYSICAL THERAPY AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-792-5300",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00991200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoboken Oral Surgeons, LLC
• Hoboken Oral Surgery Group
• Hoboken Orthodontics
• Hoboken Pathology Associates PA
• Hoboken Pediatrics
• Hoboken Physical Therapy Group LLC
• Hoboken Physical Therapy, LLC (Mile Square Physical Therapy)
• Hoboken Physician Associates, LLC
• Hoboken Radiology, LLC
• Hoboken Smile Specialists

• Physical Therapy Clinic/Center in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• 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.