Spineck Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SPINECK PHYSICAL THERAPY LLC

Doing business as

Spineck Physical Therapy

Practice address

646 Route 18 North
Suite 110, BLDG B
East Brunswick, NJ 08816

Phone

(551) 208-3234

Fax

(855) 282-5632

NPI assigned

May 8, 2019

Last updated

Mar 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Devanshi ModiNPI 1326404161

Title

Physical Therapist

Phone

(551) 208-3234

Specialties & licenses 1

Addresses

Other names 1

• Spineck Physical Therapy Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Devanshi Modi, P.T,C.M.P, CERT. MDT

  • Physical Therapist
  • East Brunswick, NJ
  • NPI 1326404161
  Medicare reassignment Care Compare group NPD Authorized official
• Khushbu Nayak, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184971541

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1720643372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 ROUTE 18 NORTH STE 110 BLDG B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163722",
            "telephone_number": "551-208-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 ROUTE 18 NORTH",
            "address_2": "SUITE 110, BLDG B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "551-208-3234",
            "fax_number": "855-282-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINECK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "DEVANSHI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "551-208-3234"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@spineckpt.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "646 Route 18 North",
            "address_2": "Suite 110, Bldg B",
            "city": "East Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Spineck Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spineck Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Lynn Spencer, DPM
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• Spine Institute of North America LLC
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• Julie Sprotzer
• Sr Plastic Surgery PC
• St Maria Pharmacy
• St. Karas Medical Practice, LLC

• Physical Therapy Clinic/Center in East Brunswick, NJ
• Providers in East Brunswick, 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 Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.