Juan Ovalles, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023351-1 Issued in NY

Practice address

69 Alexander Ave
Montclair, NJ 07043-2629

Phone

(917) 292-7409

Fax

(973) 746-0513

NPI assigned

Nov 13, 2008

Last updated

Nov 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Early Start Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Montclair, NJ
  • NPI 1649533126
  Authorized official Same address or phone
• Compassion Care Home Health Services LLC

  • Health Service Clinic/Center
  • Montclair, NJ
  • NPI 1407217086
  NPD
• Anchor Health Homecare Services Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1356071237

  Physical Therapist

  NPD

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1629222898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALEXANDER AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432629",
            "telephone_number": "917-292-7409",
            "fax_number": "973-746-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALEXANDER AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432629",
            "telephone_number": "917-292-7409",
            "fax_number": "973-746-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVALLES",
        "first_name": "JUAN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023351-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oral & Maxillofacial Associates of Montclair
• Floriza Ordona-Vega, PT CERT MDT
• Amy Origlieri, PHD
• Orthopaedic and Spine Surgeons of NJ LLC
• Orthopaedic Surgery Specialist of Montclair, LLC
• Cheng Ow, M.D.
• Oxytocin Enterprises LLC (Milkwell)
• P.Haigney,L. Ac. (Dr. Peter Haigney)
• Alessia Pace
• Lewis C. Pagano, LPC

• Physical Therapist in Montclair, NJ
• Providers in Montclair, 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 Nov 13, 2008; 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.