Organization Active NPI

Summit Physical Therapy

  • Physical Therapist
  • Summit, NJ
National Provider Identifier
1629198734
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUMMIT PHYSICAL THERAPY
Practice address
60 Morris Tpke Ste 2W
Summit, NJ 07901-5007
Phone
(908) 598-9009
Fax
(973) 218-9717
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
John V Scioscia, P.T.NPI 1346304482
Title
President
Phone
(908) 598-9009

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

60 Morris Tpke Ste 2W
Summit, NJ 07901-5007

Mailing address

60 Morris Tpke Ste 2W
Summit, NJ 07901-5007
Phone (908) 598-9009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000221 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880649342 Receives reassigned benefits from 6 practitioners
Practice locations: Summit, NJ

National Provider Directory

National Provider Directory

Locations

60 Morris Tpke
Summit, NJ 07901
Phone (908) 598-9009

60 Morris Tpke
Ste 2W
Summit, NJ 07901
Phone (908) 598-9009

Practitioners & affiliated clinicians

Practitioners 9

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1629198734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MORRIS TPKE STE 2W",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079015007",
            "telephone_number": "908-598-9009",
            "fax_number": "973-218-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MORRIS TPKE STE 2W",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079015007",
            "telephone_number": "908-598-9009",
            "fax_number": "973-218-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "SCIOSCIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-598-9009",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.