Brookdale Physical Therapy, P. a.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00383700 Issued in NJ

Legal business name

BROOKDALE PHYSICAL THERAPY, P. A.

Practice address

189 Franklin Ave
Suite 2
Nutley, NJ 07110-3823

Phone

(973) 235-9585

Fax

(973) 235-9740

NPI assigned

Jan 31, 2007

Last updated

Aug 22, 2020By 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

Mr. Darryl Louis Freeman, P.T.NPI 1386780799

Title

Secretary

Phone

(973) 235-9585

Specialties & licenses 1

Addresses

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.

• Darryl Louis Freeman, P.T.

  • Physical Therapist
  • Nutley, NJ
  • NPI 1386780799
  Authorized official Same address or phone
• Michael S Giuffrida, MA OTR

  • Occupational Therapist
  • Clifton, NJ
  • NPI 1013085794
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811034382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 FRANKLIN AVE",
            "address_2": "SUITE 2",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103823",
            "telephone_number": "973-235-9585",
            "fax_number": "973-235-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 FRANKLIN AVE",
            "address_2": "SUITE 2",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103823",
            "telephone_number": "973-235-9585",
            "fax_number": "973-235-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE PHYSICAL THERAPY, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "973-235-9585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00383700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Breiner
• Thomas Peter Bridge, MD
• Anthony Brigati
• Dana Brignola, PA
• Joseph J Brignola, MD
• Brooklyn Medical Practice PC
• Alex Brown, MS LPC
• Alexandra Brown
• Jennifer A Brown, D.O.
• Maria Bruggemann

• Physical Therapist in Nutley, NJ
• Providers in Nutley, 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 Aug 22, 2020; 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.