NPIMap

Organization Active NPI

Proactive Sports Care and Rehabilitation,PC

  • Physical Therapist
  • Little Silver, NJ
National Provider Identifier
1619170040
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROACTIVE SPORTS CARE AND REHABILITATION,PC
Practice address
160 White Rd
Suite 104
Little Silver, NJ 07739-1165
Phone
(732) 933-3570
NPI assigned
Jun 5, 2007
Last updated
May 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Mrs. Christine Anne Largey, PTNPI 1962454785
Title
Owner
Phone
(732) 933-3570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

160 White Rd
Suite 104
Little Silver, NJ 07739-1165

Mailing address

160 White Rd
Suite 104
Little Silver, NJ 07739-1165
Phone (732) 933-3570

Other identifiers 2

IdentifierTypeStateIssuer
0069501OtherNJORTHONET PROVIDER NUMBER
3K4076OtherNJHEALTHNET PROVIDER #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1619170040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WHITE RD",
            "address_2": "SUITE 104",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391165",
            "telephone_number": "732-933-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WHITE RD",
            "address_2": "SUITE 104",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391165",
            "telephone_number": "732-933-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE SPORTS CARE AND REHABILITATION,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "LARGEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-933-3570",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET PROVIDER NUMBER",
            "identifier": "0069501",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER #",
            "identifier": "3K4076",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.