NPIMap

Organization Active NPI

Liberty Physical Therapy PC

Doing business as Liberty Physical Therapy & Wellness

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1669768735
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LIBERTY PHYSICAL THERAPY PC
Doing business as
Liberty Physical Therapy & Wellness
Practice address
115 Christopher Columbus Dr Ste 300
Jersey City, NJ 07302-3551
Phone
(317) 427-3310
NPI assigned
Jun 27, 2011
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Chitra Mittal, PT, MHS, OCS, CSCSNPI 1386766780
Title
President/ Incorporator
Phone
(201) 366-1115

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU
Physical Therapist 225100000X NU Primary
Massage Therapist 225700000X NU
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

115 Christopher Columbus Dr Ste 300
Jersey City, NJ 07302-3551

Mailing address

115 Christopher Columbus Dr Ste 300
Jersey City, NJ 07302-3551
Phone (201) 366-1115

Other practice location 1

2 Journal Sq # D1
Jersey City, NJ 07306-4006
Phone (201) 366-1120

Other practice location 2

132 Newark Ave
Jersey City, NJ 07302-2812
Phone (201) 366-1116

Other names 2

  • Liberty Physical Therapy & Wellness Doing business as
  • Liberty Physical Rehabilitation Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120103000335 NJ Part B Supplier - Clinic/Group Practice 2961678537 Receives reassigned benefits from 14 practitioners
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

132 Newark Ave
Jersey City, NJ 07302
Phone (201) 366-1116

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1669768735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHRISTOPHER COLUMBUS DR STE 300",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023551",
            "telephone_number": "201-366-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHRISTOPHER COLUMBUS DR STE 300",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023551",
            "telephone_number": "317-427-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Journal Sq # D1",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073064006",
            "country_code": "US",
            "telephone_number": "201-366-1120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Newark Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073022812",
            "country_code": "US",
            "telephone_number": "201-366-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIBERTY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "CHITRA",
        "authorized_official_title_or_position": "PRESIDENT/ INCORPORATOR",
        "authorized_official_telephone_number": "201-366-1115",
        "authorized_official_credential": "PT, MHS, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty Physical Rehabilitation",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Liberty Physical Rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.