Active NPI
Ej Physical Therapy, P.C.
- Physical Therapist
- Nanuet, NY
National Provider Identifier
1528488103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029465
- Legal business name
- EJ PHYSICAL THERAPY, P.C.
- Practice address
- 295 Route 304
Nanuet, NY 10954-2153 - Phone
- (201) 602-7745
- NPI assigned
- Apr 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eun Jin Oh, PHYSICAL THERAPIST
- Title
- Owner
- Phone
- (201) 602-7745
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029465 | NY | Primary |
Addresses
Primary practice location
295 Route 304
Nanuet, NY 10954-2153
Mailing address
295 Route 304
Nanuet, NY 10954-2153
Phone (201) 602-7745
National Provider Directory
National Provider DirectoryLocations
295 Route 304
Nanuet, NY 10954
Phone (201) 602-7745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398124800000",
"number": "1528488103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 ROUTE 304",
"city": "NANUET",
"state": "NY",
"postal_code": "109542153",
"telephone_number": "201-602-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 ROUTE 304",
"city": "NANUET",
"state": "NY",
"postal_code": "109542153",
"telephone_number": "201-602-7745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EJ PHYSICAL THERAPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-22",
"last_updated": "2014-04-22",
"status": "A",
"authorized_official_last_name": "OH",
"authorized_official_first_name": "EUN JIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-602-7745",
"authorized_official_credential": "PHYSICAL THERAPIST"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "029465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.