Pediatric Therapy Resources, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00175100 Issued in NJ

Legal business name

PEDIATRIC THERAPY RESOURCES, LLC

Practice address

1 Nardone PL
Jersey City, NJ 07306-3514

Phone

(201) 792-3840

Fax

(201) 792-7948

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Carl A. Gargiulo, PT, DPT, MA, OCS

Title

Owner

Phone

(201) 792-3840

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1780872689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NARDONE PL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063514",
            "telephone_number": "201-792-3840",
            "fax_number": "201-792-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NARDONE PL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063514",
            "telephone_number": "201-792-3840",
            "fax_number": "201-792-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GARGIULO",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-792-3840",
        "authorized_official_credential": "PT, DPT, MA, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00175100",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NJ",
            "license": "46TR00053700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Ann Pedersen, LICSW
• Pedi Practices
• Pediatric Clinic of North Jersey
• Pediatric Home PT LLC
• Pediatric Practice
• Pediatrics A1, LLC
• Deborah Pedoeem
• Victoria S Pedoeem, D.D.S.
• Marquise Peel, ATC
• Pei Lin, MD

• Physical Therapy Clinic/Center in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.