Organization Active NPI

Physical Therapy & Sports Medicine Center of Metuchen

  • Physical Therapy Clinic/Center
  • Metuchen, NJ
National Provider Identifier
1689880213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00501000 Issued in NJ
Legal business name
PHYSICAL THERAPY & SPORTS MEDICINE CENTER OF METUCHEN
Practice address
252 Bridge St BLDG G
Metuchen, NJ 08840-2294
Phone
(732) 321-1331
Fax
(732) 321-1309
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Deron J. Ramos, PT
Title
PT President
Phone
(732) 321-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00501000 NJ Primary

Addresses

Primary practice location

252 Bridge St BLDG G
Metuchen, NJ 08840-2294

Mailing address

252 Bridge St BLDG G
Metuchen, NJ 08840-2294
Phone (732) 321-1331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689880213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 BRIDGE ST BLDG G",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402294",
            "telephone_number": "732-321-1331",
            "fax_number": "732-321-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 BRIDGE ST BLDG G",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402294",
            "telephone_number": "732-321-1331",
            "fax_number": "732-321-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & SPORTS MEDICINE CENTER OF METUCHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "DERON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PT PRESIDENT",
        "authorized_official_telephone_number": "732-321-1331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00501000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.