Tru Physical Therapy & Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00863100 Issued in NJ

Legal business name

TRU PHYSICAL THERAPY & WELLNESS, LLC

Practice address

7 Walnut CT
North Haledon, NJ 07508-3148

Phone

(551) 427-9862

Fax

(973) 427-5227

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Angie Chantel Dickinson-Pannone, DPT

Title

Owner/Provider

Phone

(551) 427-9862

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309737600000",
    "number": "1467771865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WALNUT CT",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075083148",
            "telephone_number": "973-949-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WALNUT CT",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075083148",
            "telephone_number": "551-427-9862",
            "fax_number": "973-427-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2011-07-04",
        "status": "A",
        "authorized_official_last_name": "DICKINSON-PANNONE",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "CHANTEL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "551-427-9862",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00863100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in North Haledon, NJ
• Providers in North Haledon, 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 Jul 4, 2011; 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.