Mt. Freedom Physical Therapy PA

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00904300 Issued in NJ

Legal business name

MT. FREEDOM PHYSICAL THERAPY PA

Practice address

10 W Hanover Ave
Randolph, NJ 07869-4221

Phone

(908) 879-8279

Fax

(908) 879-8279

NPI assigned

May 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Aiello, P.T.NPI 1760634083

Title

President

Phone

(908) 879-8279

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Stephen Aiello, MSPT

  • Physical Therapist
  • Randolph, NJ
  • NPI 1760634083
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1861711905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 COLBY FARM RD",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302645",
            "telephone_number": "908-879-8279",
            "fax_number": "908-879-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W HANOVER AVE",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694221",
            "telephone_number": "908-879-8279",
            "fax_number": "908-879-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. FREEDOM PHYSICAL THERAPY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "AIELLO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-879-8279",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00904300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Diane Moscaritola
• Mount Freedom Chiropractic LLC
• Mount Freedom Medical Associates LLC
• Mount Freedom Medical Associates LLC
• Moving Mountains Recovery, LLC
• Jodi E Mulvey, PT
• Monica P Murauskas, RPH
• MW Wellness VII, LLC
• My Physicaltherapy
• Patricia Mygas, OTR

• Physical Therapy Clinic/Center in Randolph, NJ
• Providers in Randolph, 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 Oct 12, 2010; 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.