Bounce Back Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BOUNCE BACK PHYSICAL THERAPY LLC

Practice address

385 Lakeview Ave Ste 3
Clifton, NJ 07011-4075

Phone

(962) 259-2555

NPI assigned

Jun 3, 2022

Last updated

Jun 3, 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

Ammar Mustafa, DPTNPI 1023629854

Title

Physical Therapist

Phone

(862) 668-3629

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27245/brand/1/csg/1/fhir/r4

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.

• Ammar Mustafa

  • Physical Therapist
  • Ridgewood, NJ
  • NPI 1023629854
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1427797620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 LAKEVIEW AVE STE 3",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114075",
            "telephone_number": "862-259-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 LAKEVIEW AVE STE 3",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114075",
            "telephone_number": "962-259-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNCE BACK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "862-668-3629",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Amelia Bornstein, APN
• Oksana Boroday
• John Bortolussi, D.C.
• Deborah Jean Bostock, MD
• Michael T Both, RPH
• Maged T Boutros, M.D.
• Cindy Ann Bowman, PA-C
• Cynthia K Bowyer, APN
• Carol Anderson Boyer
• Tiffany Michelle Boyer

• Physical Therapy Clinic/Center in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.