The Princeton Physical Therapy Group, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00876900 Issued in NJ

Legal business name

THE PRINCETON PHYSICAL THERAPY GROUP, PC

Practice address

2 Brighton Rd
Suite 406
Clifton, NJ 07012-1663

Phone

(973) 928-6969

NPI assigned

Jun 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Robert Tucker, MSPT

Title

President

Phone

(973) 928-6969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1699037861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRIGHTON RD",
            "address_2": "SUITE 406",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121663",
            "telephone_number": "973-928-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BRIGHTON RD",
            "address_2": "SUITE 406",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121663",
            "telephone_number": "973-928-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRINCETON PHYSICAL THERAPY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-928-6969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00876900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Clifton, NJ
• Providers in Clifton, 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 Jun 13, 2012; 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.