Orange Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01110500 Issued in NJ

Legal business name

ORANGE PHYSICAL THERAPY

Practice address

517 Central Ave
Orange, NJ 07050-1433

Phone

(973) 414-1357

Fax

(973) 414-0713

NPI assigned

May 20, 2013

Organization subpart

No

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

Authorized official

Name

Tawana Johnson

Title

Administrator

Phone

(973) 414-1357

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1376989194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 CENTRAL AVE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501433",
            "telephone_number": "973-414-1357",
            "fax_number": "973-414-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CENTRAL AVE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501433",
            "telephone_number": "973-414-1357",
            "fax_number": "973-414-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TAWANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-414-1357"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01110500",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00987800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Orange, NJ
• Providers in Orange, 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 May 20, 2013; 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.