NPIMap

Organization Active NPI

PT Advantage

  • Physical Therapy Clinic/Center
  • Edison, NJ
National Provider Identifier
1508064858
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTQA00740800 Issued in NJ
Legal business name
PT ADVANTAGE
Practice address
931 Amboy Ave
Suite B
Edison, NJ 08837-2818
Phone
(732) 738-1366
Fax
(732) 738-1377
NPI assigned
Jul 9, 2007
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Michelle Waga-Cabunag, PTNPI 1841372307
Title
Partner
Phone
(732) 738-1366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTQA00740800 NJ Primary

Addresses

Primary practice location

931 Amboy Ave
Suite B
Edison, NJ 08837-2818

Mailing address

931 Amboy Ave
Suite B
Edison, NJ 08837-2818
Phone (732) 738-1366

National Provider Directory

National Provider Directory

Locations

931 Amboy Ave
#B
Edison, NJ 08837
Phone (732) 738-1366

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1508064858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 AMBOY AVE",
            "address_2": "SUITE B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372818",
            "telephone_number": "732-738-1366",
            "fax_number": "732-738-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 AMBOY AVE",
            "address_2": "SUITE B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372818",
            "telephone_number": "732-738-1366",
            "fax_number": "732-738-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT ADVANTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-09",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "WAGA-CABUNAG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-738-1366",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "PTQA00740800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.