NPIMap

Organization Active NPI

BSD PT OT Services PLLC

  • Physical Therapist
  • Lakewood, NJ
National Provider Identifier
1366796690
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009633 Issued in NY
Legal business name
BSD PT OT SERVICES PLLC
Practice address
282D Cedar Bridge Avenue
Lakewood, NJ 08701-4265
Phone
(732) 987-5122
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Michael J Katz, PTNPI 1407192867
Title
Managing Member
Phone
(908) 907-8694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 009633 NY Primary

Addresses

Primary practice location

282D Cedar Bridge Avenue
Lakewood, NJ 08701-4265

Mailing address

37 Princeton Rd
Elizabeth, NJ 07208-1340
Phone (908) 907-8694

National Provider Directory

National Provider Directory

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": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1366796690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PRINCETON RD",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081340",
            "telephone_number": "908-907-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282D CEDAR BRIDGE AVENUE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014265",
            "telephone_number": "732-987-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSD PT OT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-907-8694",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.