Active NPI
Essentials Physical Therapy, LLC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Medford, NJ
National Provider Identifier
1568052504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- ESSENTIALS PHYSICAL THERAPY, LLC
- Practice address
- 1 Poleridge Park
Medford, NJ 08055-3353 - Phone
- (973) 902-9848
- NPI assigned
- Jan 23, 2021
- 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
- Alexandra Zeno, PT, DPT
- Title
- Physical Therapist
- Phone
- (973) 902-9848
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | Primary |
Addresses
Primary practice location
1 Poleridge Park
Medford, NJ 08055-3353
Mailing address
1 Poleridge Park
Medford, NJ 08055-3353
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Nottingham, MD
- NPI 1538610985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612137600000",
"number": "1568052504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 POLERIDGE PARK",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080553353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 POLERIDGE PARK",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080553353",
"telephone_number": "973-902-9848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSENTIALS PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-23",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A",
"authorized_official_last_name": "ZENO",
"authorized_official_first_name": "ALEXANDRA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "973-902-9848",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.