Physical Therapy Lab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICAL THERAPY LAB

Doing business as

The PT Lab

Practice address

210 Summit Ave Ste B1
Montvale, NJ 07645-1526

Phone

(201) 683-3500

NPI assigned

Oct 16, 2019

Last updated

Nov 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Eve Koppelman, MSPTNPI 1609959642

Title

Physical Therapist

Phone

(914) 772-5586

Specialties & licenses 1

Addresses

Other names 1

• The PT Lab Doing business as

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, and the practitioner matching its NPPES authorized official.

• Eve Dana Koppelman, P.T.

  • Physical Therapist
  • Montvale, NJ
  • NPI 1609959642
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1881236362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HILTON PL",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451206",
            "telephone_number": "914-772-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SUMMIT AVE STE B1",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451526",
            "telephone_number": "201-683-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "KOPPELMAN",
        "authorized_official_first_name": "EVE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "914-772-5586",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The PT Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The PT Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Pereira, LSW
• Julia Lynn Perez, PT, DPT
• Perio Implant Moon LLC (Moon Implants & Perio)
• Lori Marie Pernal, OTR/L
• Sabrina Elizabeth Pertuit, PT, DPT
• Demi Michele Piekarsky, APN
• Katrina Pizzichetta, PT, DPT
• Plasker Chiropractic Corporation
• Jordan E Plasker, D.C.
• Podiatry Foot & Ankle Institute

• Physical Therapy Clinic/Center in Montvale, NJ
• Providers in Montvale, 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 Nov 19, 2019; 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.