Gregory T Obrien, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01042200 Issued in NJ

Practice address

2601 New Jersey Ave
Wall Township, NJ 07719-4519

Phone

(610) 590-1385

Fax

(267) 790-0402

NPI assigned

Jan 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ultima Rehab-NJ LLC

  • Geriatric Physical Therapist
  • Wall Township, NJ
  • NPI 1427426485
  NPD (past)

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1679930234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 NEW JERSEY AVE",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194519",
            "telephone_number": "610-590-1385",
            "fax_number": "267-790-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 NEW JERSEY AVE",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194519",
            "telephone_number": "610-590-1385",
            "fax_number": "267-790-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "GREGORY",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01042200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neshama Labs LLC
• New Horizons in Autism, Inc.
• NJ Prime Health LLC
• Ramalakshmi K. Nuthi, MD
• Aimee O'Donnell, RPH
• Leslie Old, O.T.
• Orthonj LLC
• Samantha Marie Osso, MS, LPC, NCC
• Katya Palsi, LSW
• Lorraine Mary Parker, MA,CCC-SLP

• Physical Therapist in Wall Township, NJ
• Providers in Wall Township, 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 Jan 26, 2016; 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.