NPIMap

Organization Active NPI

Radical Physical Therapy LLC

  • Physical Therapist
  • Edison, NJ
National Provider Identifier
1659980464
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RADICAL PHYSICAL THERAPY LLC
Practice address
28 Campus Dr
Edison, NJ 08837-3911
Phone
(326) 662-4400
NPI assigned
Jul 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Ivan Candelaria
Title
Manager
Phone
(732) 662-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

28 Campus Dr
Edison, NJ 08837-3911

Mailing address

28 Campus Dr
Edison, NJ 08837-3911
Phone (326) 662-4400

National Provider Directory

National Provider Directory

Locations

28 Campus Dr
Edison, NJ 08837
Phone (732) 662-4400

Practitioners & affiliated clinicians

Practitioners 6

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": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1659980464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CAMPUS DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373911",
            "telephone_number": "326-662-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CAMPUS DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373911",
            "telephone_number": "326-662-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "CANDELARIA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-662-4400"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.