Organization Active NPI

Paterson Physical Therapy, P.C.

  • Physical Disabilities Residential Treatment Facility
  • Paterson, NJ
National Provider Identifier
1649347246
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
PATERSON PHYSICAL THERAPY, P.C.
Practice address
628 Broadway
2ND FLR.
Paterson, NJ 07514-1918
Phone
(973) 305-8830
Fax
(973) 305-8818
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Mrs. Keri Ann Fessler
Title
Administrator
Phone
(973) 305-8830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

628 Broadway
2ND FLR.
Paterson, NJ 07514-1918

Mailing address

P.O.Box 2966
Paterson, NJ 07509
Phone (973) 305-8830

National Provider Directory

National Provider Directory

Locations

628 Broadway
Fl 2
Paterson, NJ 07514
Phone (973) 305-8830

Practitioners & affiliated clinicians

Practitioners 2

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1649347246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 2966",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07509",
            "telephone_number": "973-305-8830",
            "fax_number": "973-305-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 BROADWAY",
            "address_2": "2ND FLR.",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141918",
            "telephone_number": "973-305-8830",
            "fax_number": "973-305-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATERSON PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "FESSLER",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-305-8830",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.