Organization Active NPI

Optimum Orthopedics Physical Therapy & Rehabilitation Center III, LLC

  • Physical Therapist
  • Secaucus, NJ
National Provider Identifier
1780792986
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OPTIMUM ORTHOPEDICS PHYSICAL THERAPY & REHABILITATION CENTER III, LLC
Practice address
1265 Paterson Plank Rd
Suite 2C
Secaucus, NJ 07094-3242
Phone
(201) 319-0017
Fax
(201) 319-0018
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Jennifer Martin
Title
Sr. Office Manager
Phone
(973) 746-2424

Specialties & licenses 1

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

Addresses

Primary practice location

1265 Paterson Plank Rd
Suite 2C
Secaucus, NJ 07094-3242

Mailing address

1265 Paterson Plank Rd
Suite 2C
Secaucus, NJ 07094-3242
Phone (201) 319-0017

National Provider Directory

National Provider Directory

Locations

1265 Paterson Plank Rd
Ste 2C
Secaucus, NJ 07094
Phone (201) 319-0018

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": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1780792986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 PATERSON PLANK RD",
            "address_2": "SUITE 2C",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943242",
            "telephone_number": "201-319-0017",
            "fax_number": "201-319-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 PATERSON PLANK RD",
            "address_2": "SUITE 2C",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943242",
            "telephone_number": "201-319-0017",
            "fax_number": "201-319-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM ORTHOPEDICS PHYSICAL THERAPY & REHABILITATION CENTER III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SR. OFFICE MANAGER",
        "authorized_official_telephone_number": "973-746-2424"
    },
    "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 Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.