Good Form Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GOOD FORM PHYSICAL THERAPY

Practice address

317 Bath Ave
Unit 32
Long Branch, NJ 07740-6168

Phone

(908) 783-9666

NPI assigned

Oct 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Ethel J Sartorio, RPT

Title

Physical Therapist

Phone

(908) 783-9666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1740532076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BATH AVE",
            "address_2": "UNIT 32",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406168",
            "telephone_number": "908-783-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BATH AVE",
            "address_2": "UNIT 32",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406168",
            "telephone_number": "908-783-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD FORM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "SARTORIO",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "908-783-9666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel B Goldberg, M.D.
• Michael A. Goldfarb, M.D.
• Fernanada Gomes Bernstein Seixas, MD
• Michal Gomulka, MD
• David Gonzalez, M.D.
• Jamie Goodwin-Uhler
• Madeline Gordon
• Anjana Gowda, DDS
• Robert A Graebe, MD
• Catherine Granatir, PT

• Physical Therapy Clinic/Center in Long Branch, NJ
• Providers in Long Branch, 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 Oct 10, 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.