Early Start Physical Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

023351 Issued in NY

Legal business name

EARLY START PHYSICAL THERAPY

Practice address

69 Alexander Ave
Montclair, NJ 07043

Phone

(917) 292-7409

NPI assigned

Jun 20, 2012

Last updated

Jun 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan OvallesNPI 1629222898

Title

President

Phone

(917) 292-7409

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Ovalles, MSPT

  • Physical Therapist
  • Montclair, NJ
  • NPI 1629222898
  Authorized official Same address or phone

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1649533126",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALEXANDER AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07043",
            "telephone_number": "917-292-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY START PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "OVALLES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-292-7409"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "023351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Dyer, LCSW
• Frank J. Dyer, PH.D.
• E Noach Shapiro LCSW
• Eagle Eye Chiropractic Kinesiology LLC
• Eamontclair1
• Jenna Leigh Earnhardt
• Earthly Living LLC
• Earthly Living LLC
• Gabriel William Eckenrode
• Todd A Edelson, DPT DIP MDT

• Physical Medicine & Rehabilitation Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.