NPIMap

Organization Active NPI

West Windsor-Plainsboro Physical Therapy Center, LLC

  • Physical Therapist
  • Plainsboro, NJ
National Provider Identifier
1376601930
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00527200 Issued in NJ
Legal business name
WEST WINDSOR-PLAINSBORO PHYSICAL THERAPY CENTER, LLC
Practice address
666 Plainsboro Rd
Suite 240
Plainsboro, NJ 08536-3004
Phone
(690) 275-0666
Fax
(609) 275-8004
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Mr. Brian Charles Edgerly, P.T.NPI 1831257476
Title
Co-Owner
Phone
(690) 275-0666

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 40QA00527200 NJ Primary

Addresses

Primary practice location

666 Plainsboro Rd
Suite 240
Plainsboro, NJ 08536-3004

Mailing address

666 Plainsboro Rd
Suite 240
Plainsboro, NJ 08536-3004
Phone (690) 275-0666

Other identifiers 1

IdentifierTypeStateIssuer
804615OtherNJAETNA

National Provider Directory

National Provider Directory

Locations

666 Plainsboro Rd
Ste 240
Plainsboro, NJ 08536
Phone (609) 275-0666

Practitioners & affiliated clinicians

Practitioners 3

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1376601930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 PLAINSBORO RD",
            "address_2": "SUITE 240",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363004",
            "telephone_number": "690-275-0666",
            "fax_number": "609-275-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 PLAINSBORO RD",
            "address_2": "SUITE 240",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363004",
            "telephone_number": "690-275-0666",
            "fax_number": "609-275-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST WINDSOR-PLAINSBORO PHYSICAL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "EDGERLY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "690-275-0666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00527200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "804615",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.