Provere Physical Therapy - Morristown LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

PROVERE PHYSICAL THERAPY - MORRISTOWN LLC

Practice address

40 W Park PL
Morristown, NJ 07960-4338

Phone

(732) 221-7617

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Cedric Haddad, PT, DPT

Title

Owner

Phone

(732) 221-7617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1356708002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WYCKOFF AVE",
            "address_2": "PMB #363",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W PARK PL",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604338",
            "telephone_number": "732-221-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVERE PHYSICAL THERAPY - MORRISTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-221-7617",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Kristine Lynn Profeta, M.D.
• Nikoletta Proudan
• Vladimir Ivanovich Proudan, MD
• Psychiatric Consultants of Morris
• Psychotherapy and Trauma Therapy LLC
• Sharon Jean Puchalski, WHNP
• Wendy Margarita Puello, MD
• Taylor Purzycki, MD

• Orthopedic Physical Therapist in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.