NPIMap

Organization Active NPI

Augustin Physical Therapy and Sports Rehab LLC

  • Physical Therapy Clinic/Center
  • Bayonne, NJ
National Provider Identifier
1457073793
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AUGUSTIN PHYSICAL THERAPY AND SPORTS REHAB LLC
Practice address
526 Broadway FL 2
Bayonne, NJ 07002-3734
Phone
(201) 437-9700
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Jeffrey AugustinNPI 1578653754
Title
Owner
Phone
(201) 437-9700

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

526 Broadway FL 2
Bayonne, NJ 07002-3734

Mailing address

526 Broadway FL 2
Bayonne, NJ 07002-3734
Phone (201) 437-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230224000123 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294108130 Receives reassigned benefits from 3 practitioners
Practice locations: Bayonne, NJ

National Provider Directory

National Provider Directory

Locations

526 Broadway
Bayonne, NJ 07002
Phone (201) 437-9700

526 Broadway
Fl 2
Bayonne, NJ 07002
Phone (201) 437-9700

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1457073793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 BROADWAY FL 2",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023734",
            "telephone_number": "201-437-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 BROADWAY FL 2",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023734",
            "telephone_number": "201-437-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTIN PHYSICAL THERAPY AND SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "AUGUSTIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-437-9700"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

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