NPIMap

Organization Active NPI

Ej Physical Therapy, P.C.

  • Physical Therapist
  • Nanuet, NY
National Provider Identifier
1528488103
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029465 Issued in NY
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
Last updated
Apr 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Eun Jin Oh, PHYSICAL THERAPISTNPI 1346421732
Title
Owner
Phone
(201) 602-7745

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

295 Route 304
Nanuet, NY 10954
Phone (201) 602-7745

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.