Organization Active NPI

Physical Therapy Institute of Paterson

  • Rehabilitation Practitioner
  • Paterson, NJ
National Provider Identifier
1407128440
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
PHYSICAL THERAPY INSTITUTE OF PATERSON
Practice address
586 E 27TH St
Paterson, NJ 07504-1922
Phone
(973) 553-1704
Fax
(973) 742-6664
NPI assigned
Feb 7, 2012
Last updated
Feb 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. Brett Wayne Gewant, D.C.
Title
President
Phone
(201) 286-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

586 E 27TH St
Paterson, NJ 07504-1922

Mailing address

586 E 27TH St
Paterson, NJ 07504-1922
Phone (973) 553-1704

National Provider Directory

National Provider Directory

Locations

586 E 27th St
Paterson, NJ 07504
Phone (862) 686-7769

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1407128440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 E 27TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041922",
            "telephone_number": "973-553-1704",
            "fax_number": "973-742-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 E 27TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041922",
            "telephone_number": "973-553-1704",
            "fax_number": "973-742-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY INSTITUTE OF PATERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "GEWANT",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-286-4331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.