Organization Active NPI

Bespoke Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Hoboken, NJ
National Provider Identifier
1366332405
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BESPOKE PHYSICAL THERAPY PC
Practice address
210 14TH St
Hoboken, NJ 07030-4441
Phone
(646) 596-7427
NPI assigned
Jul 9, 2025
Last updated
Jul 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Tomokazu Kato, PTNPI 1609300656
Title
Physical Therapist
Phone
(646) 596-7427

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

210 14TH St
Hoboken, NJ 07030-4441

Mailing address

210 14TH St
Hoboken, NJ 07030-4441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260414002351 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517455009 Receives reassigned benefits from 3 practitioners
Practice locations: Hoboken, NJ

National Provider Directory

National Provider Directory

Locations

210 14th St
Hoboken, NJ 07030
Phone (201) 420-3286

210 14th St
#2
Hoboken, NJ 07030

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1366332405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 14TH ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 14TH ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304441",
            "telephone_number": "646-596-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "KATO",
        "authorized_official_first_name": "TOMOKAZU",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-596-7427",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.