Organization Active NPI

Progressive Edge Physical Therapy LLC

  • Physical Therapist
  • Union, NJ
National Provider Identifier
1821457698
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01618100 Issued in NJ
Legal business name
PROGRESSIVE EDGE PHYSICAL THERAPY LLC
Practice address
1020 Galloping Hill Rd Ste 300
Union, NJ 07083-7999
Phone
(908) 349-8654
Fax
(908) 573-8337
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Dr. Andrew Vincent Iuzzolino, PT, DPTNPI 1659748838
Title
President
Phone
(908) 349-8654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA01618100 NJ Primary

Addresses

Primary practice location

1020 Galloping Hill Rd Ste 300
Union, NJ 07083-7999

Mailing address

1020 Galloping Hill Rd Ste 300
Union, NJ 07083-7999
Phone (908) 349-8654

Other practice location 1

1011 Clifton Ave Ste 23
Clifton, NJ 07013-3530
Phone (973) 692-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181031000191 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133472616 Receives reassigned benefits from 2 practitioners
Practice locations: Clifton, NJ; Union, NJ

National Provider Directory

National Provider Directory

Locations

1011 Clifton Ave
Ste 23A
Clifton, NJ 07013

1011 Clifton Ave
Ste 23
Clifton, NJ 07013
Phone (908) 349-8654

1020 Galloping Hill Rd
Ste 300
Union, NJ 07083
Phone (201) 563-8418

Practitioners & affiliated clinicians

Practitioners 4

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": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1821457698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 GALLOPING HILL RD STE 300",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837999",
            "telephone_number": "908-349-8654",
            "fax_number": "908-573-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GALLOPING HILL RD STE 300",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837999",
            "telephone_number": "908-349-8654",
            "fax_number": "908-573-8337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Clifton Ave Ste 23",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070133530",
            "country_code": "US",
            "telephone_number": "973-692-7007",
            "fax_number": "908-573-8337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE EDGE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "IUZZOLINO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-349-8654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01618100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.