Theatre Arts Physiotherapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0600130702 Issued in NJ

Legal business name

THEATRE ARTS PHYSIOTHERAPY, LLC

Practice address

5 Regent St
Suite 503
Livingston, NJ 07039-1675

Phone

(973) 422-0888

NPI assigned

Mar 12, 2008

Last updated

Jun 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sigrid ScruggsNPI 1508905381

Title

Managing Member

Phone

(973) 422-0888

Specialties & licenses 1

Addresses

Locations

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.

• Sigrid Maria Scruggs, DPT

  • Physical Therapist
  • Livingston, NJ
  • NPI 1508905381
  Authorized official Same address or phone
• Jillian D Casella, DPT

  • Physical Therapist
  • Livingston, NJ
  • NPI 1639712441
  NPD (past)
• Chudi Mgbako, DPM

  • Podiatrist
  • Millburn, NJ
  • NPI 1952608945
  NPD (past)

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339891200000",
    "number": "1760653232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REGENT ST",
            "address_2": "SUITE 503",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391675",
            "telephone_number": "973-422-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REGENT ST",
            "address_2": "SUITE 503",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391675",
            "telephone_number": "973-422-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEATRE ARTS PHYSIOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2012-06-17",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS",
        "authorized_official_first_name": "SIGRID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "973-422-0888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "0600130702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.