NPIMap

Organization Active NPI

Devon'S Promise Inc

  • Physical Therapist
  • Hackensack, NJ
National Provider Identifier
1477845329
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00524900 Issued in NJ
Legal business name
DEVON'S PROMISE INC
Practice address
455 Colonial Ter
Hackensack, NJ 07601-1403
Phone
(201) 996-9264
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Lesli Warrick
Title
President
Phone
(201) 996-9264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00524900 NJ Primary

Addresses

Primary practice location

455 Colonial Ter
Hackensack, NJ 07601-1403

Mailing address

455 Colonial Ter
Hackensack, NJ 07601-1403
Phone (201) 996-9264

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1477845329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 COLONIAL TER",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011403",
            "telephone_number": "201-996-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 COLONIAL TER",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011403",
            "telephone_number": "201-996-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVON'S PROMISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "WARRICK",
        "authorized_official_first_name": "LESLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-996-9264"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00524900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.