NPIMap

Organization Active NPI

Physical Therapy Center of Woodbridge, PC

  • Physical Therapist
  • Avenel, NJ
National Provider Identifier
1730151630
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA02309 Issued in NJ
Legal business name
PHYSICAL THERAPY CENTER OF WOODBRIDGE, PC
Practice address
1500 Saint Georges Ave
Avenel, NJ 07001-1000
Phone
(732) 750-9286
Fax
(732) 750-9225
NPI assigned
Feb 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Ronald Eugene Sward
Title
Sec Tres
Phone
(732) 750-9286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X QA02309 NJ Primary

Addresses

Primary practice location

1500 Saint Georges Ave
Avenel, NJ 07001-1000

Mailing address

PO Box 567
Avenel, NJ 07001-0567
Phone (732) 750-9286

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730151630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070010567",
            "telephone_number": "732-750-9286",
            "fax_number": "732-750-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAINT GEORGES AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011000",
            "telephone_number": "732-750-9286",
            "fax_number": "732-750-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CENTER OF WOODBRIDGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWARD",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "SEC TRES",
        "authorized_official_telephone_number": "732-750-9286",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA02309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, 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.