NPIMap

Organization Active NPI

Reactive Sports Performance LLC

  • Specialist
  • Chester, NJ
National Provider Identifier
1386896058
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00727500 Issued in NJ
Legal business name
REACTIVE SPORTS PERFORMANCE LLC
Practice address
30 Seminary Ave
Chester, NJ 07930-2614
Phone
(973) 769-2366
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Mr. Lawrence William Nisivoccia III, PT, CSCSNPI 1710049077
Title
Owner
Phone
(973) 769-2366

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
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 40QA00727500 NJ Primary

Addresses

Primary practice location

30 Seminary Ave
Chester, NJ 07930-2614

Mailing address

30 Seminary Ave
Chester, NJ 07930-2614
Phone (973) 769-2366

National Provider Directory

National Provider Directory

Locations

30 Seminary Ave
Chester, NJ 07930
Phone (908) 879-7631

Practitioners & affiliated clinicians

Practitioners 1

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": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1386896058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SEMINARY AVE",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302614",
            "telephone_number": "973-769-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SEMINARY AVE",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302614",
            "telephone_number": "973-769-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACTIVE SPORTS PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "NISIVOCCIA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-769-2366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT, CSCS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00727500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.