Active NPI
Renaissance Physical Therapy Arts and Wellness
- Physical Therapist
- Montclair, NJ
National Provider Identifier
1639475627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Massage Therapist | 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 DirectoryLocations
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.
-
- Physical Therapist
- Montclair, NJ
- NPI 1144355504
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.