NPIMap

Organization Active NPI

Enjay Physical Therapy, LLC

Doing business as Weiss Physical Therapy and Rehabilitation

  • Physical Therapist
  • Freehold, NJ
National Provider Identifier
1356647648
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00931700 Issued in NJ
Legal business name
ENJAY PHYSICAL THERAPY, LLC
Doing business as
Weiss Physical Therapy and Rehabilitation
Practice address
55 Schanck Rd
Suite a-2
Freehold, NJ 07728-2964
Phone
(732) 303-1575
Fax
(732) 303-5905
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Authorized official

Name
Dr. Rodney H. Weiss, P.T., D.P.T.NPI 1629159280
Title
Managing Member
Phone
(732) 303-1575

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA00931700 NJ Primary

Addresses

Primary practice location

55 Schanck Rd
Suite a-2
Freehold, NJ 07728-2964

Mailing address

55 Schanck Rd
Suite a-2
Freehold, NJ 07728-2964
Phone (732) 303-1575

Other names 1

  • Weiss Physical Therapy and Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110425000357 NJ Part B Supplier - Clinic/Group Practice 1254516917 Receives reassigned benefits from 4 practitioners
Practice locations: Freehold, NJ

National Provider Directory

National Provider Directory

Locations

55 Schanck Rd
Ste A-2
Freehold, NJ 07728
Phone (732) 303-1575

Practitioners & affiliated clinicians

Practitioners 5

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": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1356647648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SCHANCK RD",
            "address_2": "SUITE A-2",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-303-1575",
            "fax_number": "732-303-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SCHANCK RD",
            "address_2": "SUITE A-2",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-303-1575",
            "fax_number": "732-303-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENJAY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-303-1575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T., D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00931700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weiss Physical Therapy and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Weiss Physical Therapy and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.

Verify at the official NPI Registry.