Physical Therapy Doctor NJ, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICAL THERAPY DOCTOR NJ, PC

Practice address

719 N Beers St Ste 2B
Holmdel, NJ 07733-1523

Phone

(732) 847-9922

NPI assigned

Apr 6, 2021

Last updated

Apr 6, 2021By 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

Irina FooksonNPI 1235176652

Title

Manager

Phone

(732) 847-9922

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Practitioners 1

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.

• Irina Fookson, DPT

  • Physical Therapist
  • Holmdel, NJ
  • NPI 1235176652
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1821677956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST STE 2B",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331523",
            "telephone_number": "732-847-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST STE 2B",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331523",
            "telephone_number": "732-847-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY DOCTOR NJ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "FOOKSON",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-847-9922"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Perosi
• Jessica Michele Perrella, MSW M.ED LCSW
• Jenna Peters, MS, RD
• Alexandra Petrou, PA
• Philip N Rabin DDS PA
• Physically Speaking Therapy Center
• Physicians of Monmouth LLC
• Rachel Emma Pickworth, DMD
• Erin M Pinto, LCSW
• Nicole Pisano, PA-C

• Physical Therapy Clinic/Center in Holmdel, NJ
• Providers in Holmdel, 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 Apr 6, 2021; 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.