Professional Orthopedic and Sports Physical Therapy of NJ, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC

Practice address

68 River Rd
Summit, NJ 07901-1450

Phone

(908) 277-0800

Fax

(908) 277-0808

NPI assigned

Feb 8, 2012

Organization subpart

Yes

Parent organization

PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PCAs reported in NPPES

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

Authorized official

Name

Helen Agrelo

Title

Executive Director of Business Ops

Phone

(516) 321-2424

Specialties & licenses 1

Addresses

Part of

Professional Orthopedic and Sports Physical Therapy PC

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1710259643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 RIVER RD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011450",
            "telephone_number": "908-277-0800",
            "fax_number": "908-277-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC",
        "enumeration_date": "2012-02-08",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "AGRELO",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF BUSINESS OPS",
        "authorized_official_telephone_number": "516-321-2424"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikel Jadyne Pride, D.O.
• Primary Care Associates
• Prism Oral Surgery & Implants of Summit
• Bryan I. Proano Redmond, LCSW
• Professional Occupational & Physical Therapy, PLLC
• Susan B Profeta, M.D.
• Matthew Chae Hamilton Proute, M.B.B.S.
• Psi Summit Professional Group
• Joseph Paul Psomas-Jackloski, MSW, LCSW, LCADC
• Pulmonary & Allergy Associates, PA

• Physical Therapist in Summit, NJ
• Providers in Summit, 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 Mar 30, 2018; 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.