Organization Active NPI

Somerville Physical Therapy LLC

  • Physical Therapist
  • Somerville, NJ
National Provider Identifier
1699736835
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA00881900 Issued in NJ
Legal business name
SOMERVILLE PHYSICAL THERAPY LLC
Practice address
153 N Adamsville Rd
Somerville, NJ 08876-2742
Phone
(908) 393-1228
Fax
(908) 393-1230
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Mr. Tom Greene, PT
Title
Director
Phone
(908) 393-1228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X QA00881900 NJ Primary

Addresses

Primary practice location

153 N Adamsville Rd
Somerville, NJ 08876-2742

Mailing address

153 N Adamsville Rd
Somerville, NJ 08876-2742
Phone (908) 393-1228

National Provider Directory

National Provider Directory

Locations

159 N Adamsville Rd
Somerville, NJ 08876
Phone (908) 393-1228

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1699736835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 N ADAMSVILLE RD",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762742",
            "telephone_number": "908-393-1228",
            "fax_number": "908-393-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 N ADAMSVILLE RD",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762742",
            "telephone_number": "908-393-1228",
            "fax_number": "908-393-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERVILLE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-393-1228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA00881900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.