Organization Active NPI

Hudson Physio & Sports PC

  • Physical Therapist
  • Hoboken, NJ
National Provider Identifier
1821701749
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HUDSON PHYSIO & SPORTS PC
Practice address
74 Hudson St
Hoboken, NJ 07030-6191
Phone
(877) 576-4681
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Yisehannie Perez
Title
Practice Manager
Phone
(201) 766-1728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

74 Hudson St
Hoboken, NJ 07030-6191

Mailing address

4800 Broadway Ste 212
Union City, NJ 07087-6544
Phone (201) 766-1728

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240411001036 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668810557 Receives reassigned benefits from 4 practitioners
Practice locations: Hoboken, NJ

National Provider Directory

National Provider Directory

Locations

74 Hudson St
Ste 1
Hoboken, NJ 07030
Phone (877) 576-4681

4800 Broadway
Ste 212
Union City, NJ 07087
Phone (201) 766-1728

Practitioners & affiliated clinicians

Practitioners 5

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": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1821701749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BROADWAY STE 212",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876544",
            "telephone_number": "201-766-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 HUDSON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306191",
            "telephone_number": "877-576-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON PHYSIO & SPORTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "YISEHANNIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "201-766-1728"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.