Organization Active NPI

Universal Progressive Therapy, Inc.

  • Physical Rehabilitation Occupational Therapist
  • Nutley, NJ
National Provider Identifier
1750550604
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
46TR00328300 Issued in NJ
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

Updated by the provider on Dec 3, 2009

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/LNPI 1548590326
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)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X 46TR00328300 NJ Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.