Organization Active NPI

Hoboken Holistic Physical Therapy and Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1801133103
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00953000 Issued in NJ
Legal business name
HOBOKEN HOLISTIC PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Practice address
701 State Route 440 Suite 21
Jersey City, NJ 07304
Phone
(201) 315-9859
Fax
(201) 433-4772
NPI assigned
Jan 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Mrs. Elizabeth Divinagracia
Title
Physical Therapist
Phone
(201) 993-9344

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 25MZ00093800 NJ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00953000 NJ
Physical Therapy Clinic/Center 261QP2000X 40QA00953000 NJ Primary

Addresses

Primary practice location

701 State Route 440 Suite 21
Jersey City, NJ 07304

Mailing address

701 State Route 440 Suite 21
Jersey City, NJ 07304
Phone (201) 993-9344

Other names 1

  • Hudson Rehabspa and Wellness Center Doing business as

National Provider Directory

National Provider Directory

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": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1801133103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 STATE ROUTE 440 SUITE 21",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07304",
            "telephone_number": "201-993-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 STATE ROUTE 440 SUITE 21",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07304",
            "telephone_number": "201-315-9859",
            "fax_number": "201-433-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBOKEN HOLISTIC PHYSICAL THERAPY AND SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "DIVINAGRACIA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-993-9344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00093800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00953000",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00953000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Rehabspa and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.