Logos Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01385300 Issued in NJ

Legal business name

LOGOS PHYSICAL THERAPY

Practice address

155 New Brunswick Ave
Hopelawn, NJ 08861-4133

Phone

(732) 641-3620

Fax

(732) 826-3613

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mina Massak, DPTNPI 1417253006

Title

President

Phone

(732) 641-3620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Mina Massak, P.T.

  • Physical Therapist
  • Hopelawn, NJ
  • NPI 1417253006
  Medicare reassignment Care Compare group Authorized official
• Stephanie Bolebruch, PT

  • Physical Therapist
  • Morristown, NJ
  • NPI 1447319843
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1861864217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088620521",
            "telephone_number": "732-641-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NEW BRUNSWICK AVE",
            "city": "HOPELAWN",
            "state": "NJ",
            "postal_code": "088614133",
            "telephone_number": "732-641-3620",
            "fax_number": "732-826-3613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "884 US Highway 22",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "NJ",
            "postal_code": "088761560",
            "country_code": "US",
            "telephone_number": "908-864-4097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOGOS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "MASSAK",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-641-3620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01385300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Billah, NP (ADULT-GERIATRIC)
• Hopelawn Medicine & Pulmonology LLC
• Ashley Inoa, BCBA
• Dewan Khan, MD
• Carmencita T Lanez, MD
• Mary Madhuri Nath
• Mina Massak, P.T.
• Ashley Pacheco, APN
• Ramy R Saad, PHARMACIST
• SHP Hopelawn LLC

• Physical Therapy Clinic/Center in Hopelawn, NJ
• Providers in Hopelawn, 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 10, 2024; 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.