FTX New Jersey LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FTX NEW JERSEY LLC

Practice address

3817 Crosswicks-Hamilton SQ Rd
Unit G, Suite 128
Hamilton, NJ 08691

Phone

(561) 995-0136

NPI assigned

Jan 4, 2022

Last updated

Jan 4, 2022By 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. Seyed Hessam Khatami, DCNPI 1659509891

Title

Ceo

Phone

(561) 995-0136

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.

• Seyed Hessam Khatami, D.C.

  • Chiropractor
  • Boca Raton, FL
  • NPI 1659509891
  NPD Authorized official

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1407517386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 NW BEACON SQUARE BLVD STE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871345",
            "telephone_number": "561-995-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 CROSSWICKS-HAMILTON SQ RD",
            "address_2": "UNIT G, SUITE 128",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08691",
            "telephone_number": "561-995-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FTX NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "KHATAMI",
        "authorized_official_first_name": "SEYED",
        "authorized_official_middle_name": "HESSAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-995-0136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Hamilton, NJ
• Providers in Hamilton, 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 Jan 4, 2022; 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.