Individual provider Active NPI

John Paul Organista, PT

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1609292986
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037383 Issued in NY
Practice address
1302 Broad St
Clifton, NJ 07013-4220
Phone
(973) 803-1722
NPI assigned
Mar 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037383 NY Primary

Addresses

Primary practice location

1302 Broad St
Clifton, NJ 07013-4220

Mailing address

1302 Broad St
Clifton, NJ 07013-4220
Phone (973) 803-1722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150702000069 NY Practitioner - Physical Therapist in Private Practice 5395057483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Pro Sports Physical Therapy PCGroup PAC ID 9739071481, 10 clinicians

Practice addresses (Care Compare)

467 New York Ave
Huntington, NY 11743-3557
Phone (631) 424-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037383NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosports Physical Therapy PC CurrentSince Jul 24, 2023 Accepting new patients
Movement Matters Rehabilitation, OT, PT, PLLC Physical Therapist Past Accepting new patients

Locations

467 New York Ave
Unit 1
Huntington, NY 11743

11 Birch Hill Rd
Locust Valley, NY 11560
Phone (516) 801-6020

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1609292986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134220",
            "telephone_number": "973-803-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134220",
            "telephone_number": "973-803-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGANISTA",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.