Active NPI
Perth Amboy Physical Therapy and Wellness
- Physical Therapy Assistant
- Perth Amboy, NJ
National Provider Identifier
1760867022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00291200
- Legal business name
- PERTH AMBOY PHYSICAL THERAPY AND WELLNESS
- Practice address
- 75 Smith St
Perth Amboy, NJ 08861-4413 - Phone
- (732) 442-5542
- NPI assigned
- Jul 28, 2015
- 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
- Mr. Carlos Jaramillo
- Title
- Pta
- Phone
- (732) 442-5542
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 Therapist | 225100000X | 40QA01488900 | NJ | |
| Physical Therapy Assistant | 225200000X | 40QB00291200 | NJ | Primary |
Addresses
Primary practice location
75 Smith St
Perth Amboy, NJ 08861-4413
Mailing address
75 Smith St
Perth Amboy, NJ 08861-4413
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Linden, NJ
- NPI 1962872325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438041600000",
"number": "1760867022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SMITH ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088614413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SMITH ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088614413",
"telephone_number": "732-442-5542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERTH AMBOY PHYSICAL THERAPY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-28",
"last_updated": "2015-07-28",
"status": "A",
"authorized_official_last_name": "JARAMILLO",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "PTA",
"authorized_official_telephone_number": "732-442-5542",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01488900",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00291200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perth Amboy, NJ
- Marisol A Pena, RPSGT
- Perth Amboy Anesthesiology PC
- Perth Amboy Chiropractic Health Center, P.a.
- Perth Amboy Health Care L.L.C.
- Perth Amboy Physical Therapy & Sports Medicine Center
- Perth Amboy Public Schools
- Perth Amboy Spine and Joint Care
- Pharmarx
- Physical Therapy Center of Perth Amboy
- Diana Pichardo, DNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.