Fairfield Physical Therapy Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA07528 Issued in NJ

Legal business name

FAIRFIELD PHYSICAL THERAPY CENTER LLC

Practice address

271 RT 46 West
Suite G106 Fairfield Commons
Fairfield, NJ 07004-2440

Phone

(973) 276-1313

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Justin S Solotoff, MSPT

Title

Owner

Phone

(973) 276-1313

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Trajkoski, PT, DPT

  • Physical Therapist
  • Fairfield, NJ
  • NPI 1336888924
  NPD
• Kevin N Kopack, MSPT

  • Physical Therapist
  • Fairfield, NJ
  • NPI 1003967381
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1851436729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 ROUTE 46 WEST",
            "address_2": "SUITE G106 FAIRFIELD COMMONS",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-276-1313",
            "fax_number": "973-276-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 RT 46 WEST",
            "address_2": "SUITE G106 FAIRFIELD COMMONS",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-276-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD PHYSICAL THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "SOLOTOFF",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-276-1313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA07528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fairfield Township
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• Fairfield Wellness and Physical Therapy, LLC
• Faith Home Healthcare LLC
• Faith Home Healthcare LLC

• Physical Therapist in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.