Organization Active NPI

A-Team Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Bloomfield, NJ
National Provider Identifier
1366743387
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01330900 Issued in NJ
Legal business name
A-TEAM PHYSICAL THERAPY LLC
Practice address
38 Berkeley PL
Bloomfield, NJ 07003-4802
Phone
(973) 748-9986
NPI assigned
Nov 8, 2010
Last updated
Nov 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Christian Atexide, D.P.T.
Title
Owner
Phone
(973) 748-9986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01330900 NJ Primary

Addresses

Primary practice location

38 Berkeley PL
Bloomfield, NJ 07003-4802

Mailing address

38 Berkeley PL
Bloomfield, NJ 07003-4802

National Provider Directory

National Provider Directory

Locations

111 Northfield Ave
Ste 205
West Orange, NJ 07052
Phone (973) 736-1090

99 Northfield Ave
Ste 1
West Orange, NJ 07052
Phone (973) 333-2861

99 Northfield Ave
Ste 7
West Orange, NJ 07052
Phone (973) 736-1090

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1366743387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BERKELEY PL",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BERKELEY PL",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034802",
            "telephone_number": "973-748-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-TEAM PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "ATEXIDE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-748-9986",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01330900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.