Downtown Physio LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00483400 Issued in NJ

Legal business name

DOWNTOWN PHYSIO LLC

Practice address

377 Jersey Ave Ste 590
Jersey City, NJ 07302-4691

Phone

(646) 821-3683

NPI assigned

Aug 24, 2017

Organization subpart

No

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

Authorized official

Name

Runa Koli

Title

Owner

Phone

(646) 821-3683

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1629595202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3486",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073033486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE STE 590",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024691",
            "telephone_number": "646-821-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN PHYSIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "KOLI",
        "authorized_official_first_name": "RUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-821-3683"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00483400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.