Acorn Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01272900 Issued in NJ

Legal business name

ACORN PHYSICAL THERAPY LLC

Doing business as

Acorn Physical Therapy

Practice address

44 Holmesbrook Rd
Basking Ridge, NJ 07920-1829

Phone

(206) 240-0419

NPI assigned

Dec 19, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Linda Overbay, PT

Title

Owner

Phone

(206) 240-0419

Specialties & licenses 1

Addresses

Other names 1

• Acorn Physical Therapy Doing business as

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1538567797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HOLMESBROOK RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201829",
            "telephone_number": "206-240-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HOLMESBROOK RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201829",
            "telephone_number": "206-240-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "OVERBAY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-240-0419",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01272900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acorn Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Justin Afflitto, LSW
• Katrina Maryhannah Afflitto, LSW, MSW

• Physical Therapist in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.