Active NPI
Hoboken Holistic Physical Therapy and Sports Medicine LLC
- Physical Therapy Clinic/Center
- Jersey City, NJ
National Provider Identifier
1801133103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 40QA00953000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00093800 | NJ | |
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Chandler, AZ
- NPI 1295176543
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.