176 RT 9 PT LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01318300 Issued in NJ

Legal business name

176 RT 9 PT LLC

Doing business as

TLC Physical Therapy

Practice address

176 Route 9 Ste 204
Englishtown, NJ 07726-9220

Phone

(718) 816-6500

Fax

(718) 816-4677

NPI assigned

Feb 5, 2014

Last updated

Apr 30, 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

Mr. Jason LamendolaNPI 1619942000

Title

Owner

Phone

(718) 816-6500

Specialties & licenses 1

Addresses

Other names 1

• TLC Physical Therapy Doing business as

Locations

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.

• Jason P Lamendola

  • Physical Therapist
  • Staten Island, NY
  • NPI 1619942000
  Authorized official Same address or phone

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1831513332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 RTE 9",
            "address_2": "STE# 204",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077269218",
            "telephone_number": "718-816-6500",
            "fax_number": "718-816-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 ROUTE 9 STE 204",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077269220",
            "telephone_number": "718-816-6500",
            "fax_number": "718-816-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "176 RT 9 PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "LAMENDOLA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-816-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01318300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TLC Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Physical Therapy of Central Jersey, Inc
• Alyssa Ali
• Allies Inc.
• Tatyana Andrews, M.D.
• Anesthebest, LLC

• Physical Therapy Clinic/Center in Englishtown, NJ
• Providers in Englishtown, 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 30, 2021; 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.