Individual provider Active NPI

James O'Rourke I

  • Physical Therapist
  • Morris Plains, NJ
National Provider Identifier
1467489013
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA009805 Issued in NJ
Practice address
100 The American Rd
Suite 114
Morris Plains, NJ 07950-2443
Phone
(973) 455-0254
Fax
(973) 455-0256
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA009805 NJ Primary

Addresses

Primary practice location

100 The American Rd
Suite 114
Morris Plains, NJ 07950-2443

Mailing address

563 Park St
Montclair, NJ 07043-2027
Phone (973) 455-0254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000163 NJ Practitioner - Physical Therapist in Private Practice 6608848361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 E Hanover Ave
Suite B2
Morris Plains, NJ 07950-2456
Phone (973) 906-8903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA009805NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
James O'Rourke Physical Therapy, LLC. Physical Therapist CurrentSince Oct 1, 2010 Accepting new patients
Activecare Occupational Therapy LLC Physical Therapist Past Accepting new patients
Active Care Spine and Sports Rehab LLC Physical Therapist Past Accepting new patients
Twin Boro Physical Therapy Associates, PA Past Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist PastSince Jan 3, 2000 Accepting new patients

Locations

39 E Hanover Ave
Ste B2
Morris Plains, NJ 07950
Phone (973) 906-8903

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1467489013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432027",
            "telephone_number": "973-455-0254",
            "fax_number": "973-455-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 THE AMERICAN RD",
            "address_2": "SUITE 114",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502443",
            "telephone_number": "973-455-0254",
            "fax_number": "973-455-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "JAMES",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA009805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.