NPIMap

Organization Active NPI

Jaeger Physical Therapy

  • Physical Therapy Clinic/Center
  • Wayne, NJ
National Provider Identifier
1356523732
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00549400 Issued in NJ
Legal business name
JAEGER PHYSICAL THERAPY
Practice address
1581 Route 23
Wayne, NJ 07470-7508
Phone
(973) 696-7707
Fax
(973) 696-4771
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Ms. Anita Myers
Title
Insurance Administrator
Phone
(973) 694-4221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00549400 NJ Primary

Addresses

Primary practice location

1581 Route 23
Wayne, NJ 07470-7508

Mailing address

1581 Route 23
Wayne, NJ 07470-7508
Phone (973) 696-7707

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1356523732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 ROUTE 23",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707508",
            "telephone_number": "973-696-7707",
            "fax_number": "973-696-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 ROUTE 23",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707508",
            "telephone_number": "973-696-7707",
            "fax_number": "973-696-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAEGER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "973-694-4221",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00549400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.