Organization Active NPI

Handsome Physical Therapy Works LLC

  • Physical Therapy Clinic/Center
  • West Orange, NJ
National Provider Identifier
1508256686
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40Q01237600 Issued in NJ
Legal business name
HANDSOME PHYSICAL THERAPY WORKS LLC
Practice address
69 Nicholas Ave
West Orange, NJ 07052-2932
Phone
(201) 377-8389
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Dr. John De Hoyos, DPTNPI 1225168586
Title
Director Physical Therapist
Phone
(201) 377-8389

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 40Q01237600 NJ Primary

Addresses

Primary practice location

69 Nicholas Ave
West Orange, NJ 07052-2932

Mailing address

69 Nicholas Ave
West Orange, NJ 07052-2932
Phone (201) 377-8389

Other identifiers 1

IdentifierTypeStateIssuer
12764132OtherNJCAQH

Other names 1

  • Lightport Physical Therapy Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1508256686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 NICHOLAS AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522932",
            "telephone_number": "201-377-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 NICHOLAS AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522932",
            "telephone_number": "201-377-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDSOME PHYSICAL THERAPY WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "DE HOYOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-377-8389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40Q01237600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12764132",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lightport Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.