S R E Physical Therapy Professional Association

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

S R E PHYSICAL THERAPY PROFESSIONAL ASSOCIATION

Practice address

2044 Center Ave
2FL
Fort Lee, NJ 07024-4930

Phone

(201) 585-0636

NPI assigned

May 2, 2013

Organization subpart

No

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

Authorized official

Name

Shiarree Evaristo, PT

Title

President

Phone

(347) 965-3356

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1679918783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 CENTER AVE",
            "address_2": "2FL",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 CENTER AVE",
            "address_2": "2FL",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244930",
            "telephone_number": "201-585-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S R E PHYSICAL THERAPY PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "EVARISTO",
        "authorized_official_first_name": "SHIARREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-965-3356",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard C Rothman, M.D.
• Royal Plaza Drug LLC
• Alison Russo, LAC
• S Dental Clinic LLC
• S Dental Institute
• S W Baik M D P a
• S. B. & R. D. Ponamgi MD PA
• Pilar Sabater, MD
• Shaina Saeed
• Tania Salazar, NURSE PRACTITIONER

• Physical Therapist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.