Organization Active NPI

Am Physical Therapy LLC

  • Specialist
  • Edison, NJ
National Provider Identifier
1669817763
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00954300 Issued in NJ
Legal business name
AM PHYSICAL THERAPY LLC
Practice address
2 Lincoln Hwy
Ste 510
Edison, NJ 08820-3961
Phone
(732) 947-4318
Fax
(732) 649-6477
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Mrs. Marina Dreytser, MSPTNPI 1700917622
Title
Owner
Phone
(732) 794-3974

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 40QA00954300 NJ Primary

Addresses

Primary practice location

2 Lincoln Hwy
Ste 510
Edison, NJ 08820-3961

Mailing address

2 Lincoln Hwy
Ste 510
Edison, NJ 08820-3961
Phone (732) 947-4318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130919000044 NJ Part B Supplier - Clinic/Group Practice 0143464818 Receives reassigned benefits from 1 practitioner
Practice locations: Edison, NJ; Old Bridge, NJ

National Provider Directory

National Provider Directory

Locations

2 State Route 27
Ste 510
Edison, NJ 08820
Phone (732) 516-9868

Practitioners & affiliated clinicians

Practitioners 1

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": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1669817763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY",
            "address_2": "STE 510",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "732-947-4318",
            "fax_number": "732-649-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY",
            "address_2": "STE 510",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "732-947-4318",
            "fax_number": "732-649-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "DREYTSER",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-794-3974",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00954300",
            "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 Feb 5, 2014; 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.