NPIMap

Organization Active NPI

Pursue Physical Therapy & Performance Training

  • Sports Physical Therapist
  • Verona, NJ
National Provider Identifier
1871962175
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
40QA01514700 Issued in NJ
Legal business name
PURSUE PHYSICAL THERAPY & PERFORMANCE TRAINING
Practice address
271 Grove Ave Ste C
Verona, NJ 07044-1729
Phone
(201) 340-4846
Fax
(973) 513-6105
NPI assigned
Sep 17, 2015
Last updated
Sep 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Dr. Brandon Cruz, PT,DPT,OCS,CSCSNPI 1447684642
Title
Physical Therapist/Owner
Phone
(973) 271-3368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00129400 NJ
Sports Physical Therapist 2251S0007X 40QA01514700 NJ Primary

Addresses

Primary practice location

271 Grove Ave Ste C
Verona, NJ 07044-1729

Mailing address

271 Grove Ave Ste C
Verona, NJ 07044-1729
Phone (201) 340-4846

Other practice location 1

80 River St Ste 2E
Hoboken, NJ 07030-5619
Phone (973) 477-3522

Other identifiers 4

IdentifierTypeStateIssuer
1033612163OtherNJACUPUNCTURE
1407273642OtherNJNPI
1447684642OtherNJNPI
1134580988OtherNJNPI- JASON PARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170927000787 NJ Part B Supplier - Clinic/Group Practice 9830463009 Receives reassigned benefits from 8 practitioners
Practice locations: Verona, NJ

National Provider Directory

National Provider Directory

Locations

80 River St
Ste 2E
Hoboken, NJ 07030
Phone (973) 477-3522

271 Grove Ave
Ste C
Verona, NJ 07044
Phone (201) 340-4846

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1871962175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 GROVE AVE STE C",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441729",
            "telephone_number": "201-340-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 GROVE AVE STE C",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441729",
            "telephone_number": "201-340-4846",
            "fax_number": "973-513-6105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 River St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070305619",
            "country_code": "US",
            "telephone_number": "973-477-3522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURSUE PHYSICAL THERAPY & PERFORMANCE TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "973-271-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT,OCS,CSCS"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00129400",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": "40QA01514700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "1033612163",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407273642",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447684642",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI- JASON PARK",
            "identifier": "1134580988",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.