TBWC Physicaltherapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01235100 Issued in NJ

Legal business name

TBWC PHYSICALTHERAPY INC

Practice address

250 Old River Rd
Edgewater, NJ 07020-1005

Phone

(201) 945-4416

Fax

(201) 945-4412

NPI assigned

Nov 6, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Benji A Munoz

Title

President/Owner

Phone

(201) 945-4416

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1780911024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 OLD RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201005",
            "telephone_number": "201-945-4416",
            "fax_number": "201-945-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OLD RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201005",
            "telephone_number": "201-945-4416",
            "fax_number": "201-945-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBWC PHYSICALTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "BENJI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "201-945-4416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01235100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.