Montvale Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00735900 Issued in NJ

Legal business name

MONTVALE PHYSICAL THERAPY, INC.

Practice address

21 Philips Pkwy
Montvale, NJ 07645-1849

Phone

(201) 930-8700

Fax

(201) 930-8730

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Perry J Bonomo, MAPT

Title

President

Phone

(201) 930-8700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609980051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PHILIPS PKWY",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451849",
            "telephone_number": "201-930-8700",
            "fax_number": "201-930-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PHILIPS PKWY",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451849",
            "telephone_number": "201-930-8700",
            "fax_number": "201-930-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTVALE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONOMO",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-930-8700",
        "authorized_official_credential": "MAPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00735900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marie Muller-Noonan, CD(DONA)

• Physical Therapist in Montvale, NJ
• Providers in Montvale, 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 Aug 22, 2020; 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.