Organization Active NPI

Renaissance Physical Therapy Arts and Wellness

  • Physical Therapist
  • Montclair, NJ
National Provider Identifier
1639475627
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RENAISSANCE PHYSICAL THERAPY ARTS AND WELLNESS
Practice address
734 Valley Rd Ste 102
Montclair, NJ 07043-1522
Phone
(973) 707-7944
Fax
(973) 707-7541
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Ms. Caryn Binder-Bregman, P.T.NPI 1144355504
Title
President
Phone
(973) 707-7944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

734 Valley Rd Ste 102
Montclair, NJ 07043-1522

Mailing address

734 Valley Rd Ste 102
Montclair, NJ 07043-1522
Phone (973) 707-7944

National Provider Directory

National Provider Directory

Locations

734 Valley Rd
Ste 102
Montclair, NJ 07043
Phone (973) 707-7944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1639475627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 VALLEY RD STE 102",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431522",
            "telephone_number": "973-707-7944",
            "fax_number": "973-707-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 VALLEY RD STE 102",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431522",
            "telephone_number": "973-707-7944",
            "fax_number": "973-707-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE PHYSICAL THERAPY ARTS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "BINDER-BREGMAN",
        "authorized_official_first_name": "CARYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-707-7944",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.