Organization Active NPI

Institute of Physical Therapy Inc

  • Physical Therapist
  • Mountain Lakes, NJ
National Provider Identifier
1760531305
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INSTITUTE OF PHYSICAL THERAPY INC
Practice address
420 Boulevard
Suite 206
Mountain Lakes, NJ 07046-1742
Phone
(973) 402-9511
Fax
(973) 402-9513
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Diane Jankiewicz, PT,DPTNPI 1710949250
Title
Physical Therapist
Phone
(973) 402-9511

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 1

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

Addresses

Primary practice location

420 Boulevard
Suite 206
Mountain Lakes, NJ 07046-1742

Mailing address

420 Boulevard
Suite 206
Mountain Lakes, NJ 07046-1742
Phone (973) 402-9511

National Provider Directory

National Provider Directory

Locations

420 Boulevard
Ste 206
Mountain Lks, NJ 07046
Phone (908) 281-5729

Practitioners & affiliated clinicians

Practitioners 3

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1760531305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BOULEVARD",
            "address_2": "SUITE 206",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461742",
            "telephone_number": "973-402-9511",
            "fax_number": "973-402-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BOULEVARD",
            "address_2": "SUITE 206",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461742",
            "telephone_number": "973-402-9511",
            "fax_number": "973-402-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "JANKIEWICZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "973-402-9511",
        "authorized_official_credential": "PT,DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.