Spectrum Physical Therapy & Athletic Training, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPECTRUM PHYSICAL THERAPY & ATHLETIC TRAINING, LLC

Practice address

184 Central Ave
Old Tappan, NJ 07675-7360

Phone

(201) 768-2000

NPI assigned

Feb 1, 2018

Organization subpart

Yes

Parent organization

SPECTRUM PHYSICAL THERAPY & ATHLETIC TRAINING, LLCAs reported in NPPES

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

Authorized official

Name

Greg Zaccone

Title

Owner

Phone

(201) 768-2000

Specialties & licenses 2

Addresses

Tax ID family

Spectrum Physical Therapy Athletic Training LLC2 organizations share this tax ID, including this one

Part of

Spectrum Physical Therapy Athletic Training LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spectrum Physical Therapy and Athletic Training LLC

  • Sports Physical Therapist
  • Edgewater, NJ
  • NPI 1417140906
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Breslin, DPT

  • Physical Therapist
  • Old Tappan, NJ
  • NPI 1588037139
  NPD (past)
• Gregory R. Zaccone, PT, DPT, MSPT, SCS

  • Physical Therapist
  • Old Tappan, NJ
  • NPI 1861577421
  NPD (past)
• Aileen Gavina, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1972873487
  NPD (past)

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558860809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 CENTRAL AVE",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757360",
            "telephone_number": "201-768-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CENTRAL AVE",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757360",
            "telephone_number": "201-768-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 River Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "NJ",
            "postal_code": "070201456",
            "country_code": "US",
            "telephone_number": "201-937-3600",
            "fax_number": "201-731-5192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECTRUM PHYSICAL THERAPY & ATHLETIC TRAINING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM PHYSICAL THERAPY & ATHLETIC TRAINING, LLC",
        "enumeration_date": "2018-02-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZACCONE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-768-2000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sang Yun Ro, DDS, PC
• Diane C Schwartz, MD
• Robin Helene Semegran, O.D.
• Sensory Diagnostics and Pain Management Associates
• Loanda Ana Sota, PHARMD
• Spectrum Wellness Center
• Spero E Demoleas
• Sports Medicine Center of Bergen, PA
• James Steindl
• Jenna Stuebe, PT, DPT

• Physical Therapist in Old Tappan, NJ
• Providers in Old Tappan, 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 Jul 21, 2022; 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.