Organization Active NPI

Perth Amboy Physical Therapy and Wellness

  • Physical Therapy Assistant
  • Perth Amboy, NJ
National Provider Identifier
1760867022
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00291200 Issued in NJ
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

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Mr. Carlos JaramilloNPI 1962872325
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 40QA01488900 NJ
Physical Therapy AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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

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.

Verify at the official NPI Registry.