Taylor Ghodbane

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT027545 Issued in PA

Practice address

904 Oak Tree Ave Ste S
South Plainfield, NJ 07080-5126

Phone

(908) 756-6555

NPI assigned

Feb 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144

  Orthopedic

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1821554775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CASTLE POINTE BLVD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545061",
            "telephone_number": "609-313-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 OAK TREE AVE STE S",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805126",
            "telephone_number": "908-756-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7140 Germantown Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191191843",
            "country_code": "US",
            "telephone_number": "215-753-8898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Witmer Way",
            "address_purpose": "LOCATION",
            "city": "Robbinsville",
            "state": "NJ",
            "postal_code": "086912558",
            "country_code": "US",
            "telephone_number": "609-313-4852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHODBANE",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT027545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohinder K Garg, D.D.S.
• Upasna Kumar Garg, D.D.S
• Justin Ian Garrel, DDS
• Durga C Gaviola, MD
• Amita Ghetia, BPHARM
• Garrett Gianneschi, DO
• Edmund Giroux
• Gisela Munne, M.D., LLC
• Lynne Iris Glasser, PT
• Jennifer L Glavasich, RD

• Orthopedic Physical Therapist in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.