Organization Active NPI

Wellcare Physical Therapy, LLC

  • Physical Therapist
  • South Plainfield, NJ
National Provider Identifier
1790070365
Registry record updated Jun 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00697400 Issued in NJ
Legal business name
WELLCARE PHYSICAL THERAPY, LLC
Practice address
3000 Hadley Rd
South Plainfield, NJ 07080-1183
Phone
(201) 220-5269
NPI assigned
Jun 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2011

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

Authorized official

Name
Mrs. Jinhee Choi, P.T.
Title
Owner
Phone
(201) 220-5269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA00697400 NJ Primary

Addresses

Primary practice location

3000 Hadley Rd
South Plainfield, NJ 07080-1183

Mailing address

16 Walnut St
Dumont, NJ 07628-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307836800000",
    "number": "1790070365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WALNUT ST",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076282222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HADLEY RD",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070801183",
            "telephone_number": "201-220-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-12",
        "last_updated": "2011-06-12",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JINHEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-220-5269",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00697400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2011; 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.