Organization Active NPI

Core Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Glen Rock, NJ
National Provider Identifier
1861839391
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORE PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
251 Rock Rd FL 2
Glen Rock, NJ 07452-1745
Phone
(201) 844-0090
Fax
(201) 445-0919
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Martha J Quijano, PT
Title
Managing Member
Phone
(201) 844-0090

Specialties & licenses 1

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

Addresses

Primary practice location

251 Rock Rd FL 2
Glen Rock, NJ 07452-1745

Mailing address

251 Rock Rd FL 2
Glen Rock, NJ 07452-1745
Phone (201) 844-0090

National Provider Directory

National Provider Directory

Locations

251 Rock Rd
Fl 2
Glen Rock, NJ 07452
Phone (201) 445-0900

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1861839391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 ROCK RD FL 2",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521745",
            "telephone_number": "201-844-0090",
            "fax_number": "201-445-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 ROCK RD FL 2",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521745",
            "telephone_number": "201-844-0090",
            "fax_number": "201-445-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "QUIJANO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-844-0090",
        "authorized_official_credential": "PT"
    },
    "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 Glen Rock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.