Sportsmed of Glen Rock PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORTSMED OF GLEN ROCK PA

Practice address

266 Harristown Rd
Suite 200
Glen Rock, NJ 07452-3302

Phone

(201) 803-7695

NPI assigned

Mar 23, 2015

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Albert KhalafNPI 1821115965

Title

Managing Officer

Phone

(201) 803-7695

Specialties & licenses 3

Addresses

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.

• Albert E Khalaf, D.C.

  • Chiropractor
  • Fair Lawn, NJ
  • NPI 1821115965
  NPD (past) Authorized official

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1376937896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD",
            "address_2": "SUITE 200",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523302",
            "telephone_number": "201-803-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD",
            "address_2": "SUITE 200",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523302",
            "telephone_number": "201-803-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSMED OF GLEN ROCK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "KHALAF",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "201-803-7695",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum for Living Development, Inc.
• Spectrum for Living Development, Inc.
• Speech Therapy Plus LLC
• Sportsmed Acupunture of New Jersey, LLC (SportsMed Physical Therapy)
• Sportsmed Chiropractic of New Jersey, LLC (SportsMed Physical Therapy)
• Sportsmed PT LLC
• Marianna Stas, M.S., CF-SLP
• Stephan Stasiuk, DPT
• Steprite Medical Transportation
• Gail Suchanski, SLP-CCC

• Physical Therapist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.