Hoboken Holistic Physical Therapy and Sports Medicine LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00953000 Issued in NJ

Legal business name

HOBOKEN HOLISTIC PHYSICAL THERAPY AND SPORTS MEDICINE LLC

Doing business as

Hudson Rehabspa and Wellness Center

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

Last updated

Nov 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth DivinagraciaNPI 1588855308

Title

Physical Therapist

Phone

(201) 993-9344

Specialties & licenses 3

Addresses

Other names 1

• Hudson Rehabspa and Wellness Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Bulosan Divinagracia, PHYSICAL THERAPIST

  • Rehabilitation Chiropractor
  • Oakland, NJ
  • NPI 1588855308
  Authorized official Same address or phone
• Ritu J Dungarani, P.T, DPT

  • Physical Therapist
  • Chandler, AZ
  • NPI 1295176543
  NPD

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"
        }
    ]
}

• Nichole A Hill, LAC
• Hinaya LLC
• Barbara Hines, LPC
• HMP Medical Group LLC
• Johnny Ho, PHARMD
• Heather A Hoffman, LCSW
• Rachel Hoffman, PSY.D.
• Julianne Christine Hoffmann, LMHC
• Conor Hogan, PH.D.
• Jessica Holmes

• 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 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.