Organization Active NPI

Neurofit Rehabilitation and Fitness

  • Physical Therapist
  • Glen Rock, NJ
National Provider Identifier
1538560644
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA008961 Issued in NJ
Legal business name
NEUROFIT REHABILITATION AND FITNESS
Practice address
566 S Broad St
Glen Rock, NJ 07452-1333
Phone
(201) 543-3902
NPI assigned
Sep 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Thomas Matthew Donofrio, PT
Title
President
Phone
(201) 543-3902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X QA008961 NJ Primary

Addresses

Primary practice location

566 S Broad St
Glen Rock, NJ 07452-1333

Mailing address

566 S Broad St
Glen Rock, NJ 07452-1333
Phone (201) 543-3902

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1538560644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 S BROAD ST",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521333",
            "telephone_number": "201-543-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 S BROAD ST",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521333",
            "telephone_number": "201-543-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROFIT REHABILITATION AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "DONOFRIO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-543-3902",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA008961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.