NPIMap

Organization Active NPI

Pro Staff Physical Therapy PC

  • Occupational Therapist
  • Nutley, NJ
National Provider Identifier
1770116527
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PRO STAFF PHYSICAL THERAPY PC
Practice address
265 Franklin Ave
Nutley, NJ 07110-2712
Phone
(973) 661-1207
Fax
(973) 661-1843
NPI assigned
Feb 20, 2020
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Michael Maffucci
Title
Ceo
Phone
(973) 798-6755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

265 Franklin Ave
Nutley, NJ 07110-2712

Mailing address

PO Box 52403
Phoenix, AZ 85072-2403
Phone (973) 661-1207

Other practice location 1

49 Claremont Ave Ste 5
Montclair, NJ 07042-4854
Phone (973) 680-8390

National Provider Directory

National Provider Directory
Tax ID family
Pro Staff Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1770116527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52403",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722403",
            "telephone_number": "973-661-1207",
            "fax_number": "973-661-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102712",
            "telephone_number": "973-661-1207",
            "fax_number": "973-661-1843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Claremont Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070424854",
            "country_code": "US",
            "telephone_number": "973-680-8390",
            "fax_number": "973-680-8391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRO STAFF PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "MAFFUCCI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-798-6755"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.