Pro Function Physical Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01306300 Issued in NJ

Legal business name

PRO FUNCTION PHYSICAL THERAPY P.C.

Practice address

545 Island Rd
Unit 2B-2
Ramsey, NJ 07446-2813

Phone

(917) 459-8033

NPI assigned

Oct 19, 2010

Last updated

Oct 19, 2010By 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

Editha VictoriaNPI 1598903841

Title

President

Phone

(917) 459-8033

Specialties & licenses 1

Addresses

Locations

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.

• Editha Victoria, P.T.

  • Pediatric Physical Therapist
  • Bergenfield, NJ
  • NPI 1598903841
  Authorized official Same address or phone

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1669782025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 SOMERS AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 ISLAND RD",
            "address_2": "UNIT 2B-2",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462813",
            "telephone_number": "917-459-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO FUNCTION PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "VICTORIA",
        "authorized_official_first_name": "EDITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-459-8033"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01306300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Rose Prestifilippo, LAC
• Preventive and Diagnostic Medical Center
• Preventive and Diagonostic Medical Center P.a.
• Shemsi Prinzivalli, LPC, CADC
• Laura Pritchard
• Progressive Dental Group
• Progressive Spine & Sports Medicine
• Quality Optical, Inc.
• Samuel Yp Quek, DMD
• Quest Physical Therapy

• Physical Therapy Clinic/Center in Ramsey, NJ
• Providers in Ramsey, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.