Organization Active NPI

All Garden State PT, LLC

  • Physical Therapist
  • Paterson, NJ
National Provider Identifier
1750762563
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA005564 Issued in NJ
Legal business name
ALL GARDEN STATE PT, LLC
Practice address
750 Broadway
Suite B
Paterson, NJ 07514-1353
Phone
(973) 345-1312
Fax
(973) 742-0669
NPI assigned
Jun 17, 2015
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Jane Looby
Title
Office Manger
Phone
(973) 345-1312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA005564 NJ Primary

Addresses

Primary practice location

750 Broadway
Suite B
Paterson, NJ 07514-1353

Mailing address

750 Broadway
Suite B
Paterson, NJ 07514-1353
Phone (973) 345-1312

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1750762563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 BROADWAY",
            "address_2": "SUITE B",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141353",
            "telephone_number": "973-345-1312",
            "fax_number": "973-742-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BROADWAY",
            "address_2": "SUITE B",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141353",
            "telephone_number": "973-345-1312",
            "fax_number": "973-742-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL GARDEN STATE PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "LOOBY",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OFFICE  MANGER",
        "authorized_official_telephone_number": "973-345-1312"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA005564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.