Active NPI
Universal Progressive Therapy, Inc.
- Physical Rehabilitation Occupational Therapist
- Nutley, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 46TR00328300
- Legal business name
- UNIVERSAL PROGRESSIVE THERAPY, INC.
- Practice address
- 242 Washington Ave
Suite B
Nutley, NJ 07110-3934 - Phone
- (973) 800-6291
- Fax
- (877) 591-5378
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Varleisha D Gibbs, MS, OTR/L
- Title
- President
- Phone
- (973) 800-6291
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 46TR00328300 | NJ | Primary |
| Audiologist | 231H00000X | 46TR00328300 | NJ |
Addresses
Primary practice location
242 Washington Ave
Suite B
Nutley, NJ 07110-3934
Mailing address
242 Washington Ave
Suite B
Nutley, NJ 07110-3934
Phone (973) 800-6291
National Provider Directory
National Provider DirectoryLocations
68 Colfax Ave
Clifton, NJ 07013
Phone (877) 591-5378
242 Washington Ave
Ste B
Nutley, NJ 07110
Phone (973) 800-6291
521 Franklin Ave
Ste 1
Nutley, NJ 07110
Phone (877) 591-5378
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Middletown, DE
- NPI 1548590326
-
- Occupational Therapist
- Nutley, NJ
- NPI 1891033635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259798400000",
"number": "1750550604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 WASHINGTON AVE",
"address_2": "SUITE B",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071103934",
"telephone_number": "973-800-6291",
"fax_number": "877-591-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 WASHINGTON AVE",
"address_2": "SUITE B",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071103934",
"telephone_number": "973-800-6291",
"fax_number": "877-591-5378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL PROGRESSIVE THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-25",
"last_updated": "2009-12-03",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "VARLEISHA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-800-6291",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, OTR/L"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NJ",
"license": "46TR00328300",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": "NJ",
"license": "46TR00328300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.