Organization Active NPI

Irvington Physical Therapy

  • Physical Therapist
  • Irvington, NJ
National Provider Identifier
1508912635
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01043900 Issued in NJ
Legal business name
IRVINGTON PHYSICAL THERAPY
Practice address
50 Union Ave
501
Irvington, NJ 07111-3262
Phone
(973) 375-5400
Fax
(973) 375-5792
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Mr. Thomas George
Title
Office Manager
Phone
(973) 375-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01043900 NJ Primary

Addresses

Primary practice location

50 Union Ave
501
Irvington, NJ 07111-3262

Mailing address

50 Union Ave
501
Irvington, NJ 07111-3262
Phone (973) 375-5400

National Provider Directory

National Provider Directory

Locations

50 Union Ave
Ste 501
Irvington, NJ 07111
Phone (908) 362-0123

1224 Clinton Ave
Irvington, NJ 07111
Phone (973) 375-5400

Practitioners & affiliated clinicians

Practitioners 2

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1508912635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION AVE",
            "address_2": "501",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113262",
            "telephone_number": "973-375-5400",
            "fax_number": "973-375-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION AVE",
            "address_2": "501",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113262",
            "telephone_number": "973-375-5400",
            "fax_number": "973-375-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINGTON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-375-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01043900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.