Organization Active NPI

Center for Physical Therapy & Spinal Wellness, P.C.

  • Physical Therapist
  • Manalapan, NJ
National Provider Identifier
1407918600
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA07415 Issued in NJ
Legal business name
CENTER FOR PHYSICAL THERAPY & SPINAL WELLNESS, P.C.
Practice address
100 Craig Rd
Suite 206
Manalapan, NJ 07726-8787
Phone
(732) 303-1425
Fax
(732) 780-7990
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Dr. Lisa Marlo Cohen, DCNPI 1528148517
Title
Chiropractor
Phone
(732) 303-1425

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00452200 NJ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X QA07415 NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA01003200 NJ

Addresses

Primary practice location

100 Craig Rd
Suite 206
Manalapan, NJ 07726-8787

Mailing address

PO Box 217
Tennent, NJ 07763-0217
Phone (732) 303-1425

National Provider Directory

National Provider Directory

Locations

100 Craig Rd
Ste 206
Manalapan, NJ 07726
Phone (732) 303-1425

Practitioners & affiliated clinicians

Practitioners 3

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1407918600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "TENNENT",
            "state": "NJ",
            "postal_code": "077630217",
            "telephone_number": "732-303-1425",
            "fax_number": "732-780-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CRAIG RD",
            "address_2": "SUITE 206",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268787",
            "telephone_number": "732-303-1425",
            "fax_number": "732-780-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PHYSICAL THERAPY & SPINAL WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARLO",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "732-303-1425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00452200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA07415",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01003200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.