Integrated Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00288000 Issued in NJ

Legal business name

INTEGRATED PHYSICAL THERAPY LLC

Practice address

860 Wyckoff Ave
Unit 1 NW
Mahwah, NJ 07430-3186

Phone

(201) 904-2051

NPI assigned

Jun 20, 2014

Last updated

Sep 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Jay Giannelli, P.T.

Title

Physical Therapist/Owner

Phone

(201) 904-2051

Specialties & licenses 1

Addresses

Locations

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.

• Eric T Horbatuck, P.T.A.

  • Physical Therapy Assistant
  • Mahwah, NJ
  • NPI 1578963690
  NPD (past)

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1568876233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 WYCKOFF AVE",
            "address_2": "UNIT 1 NW",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303186",
            "telephone_number": "201-904-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 WYCKOFF AVE",
            "address_2": "UNIT 1 NW",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303186",
            "telephone_number": "201-904-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "GIANNELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "201-904-2051",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00288000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellyn Hunter, R.P.
• Jodi Stephanie Huntington, PH.D.
• Anne Marie Hurban, APN
• Icare Eyewear
• Improve ABA of NJ LLC
• Christine E Iturriaga
• Judith Jacobs, LCSW
• Kamon Jaksarn
• Japanese American Medical Center
• Jennifer Erin Javer, OTR/L

• Physical Therapy Clinic/Center in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

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