NPIMap

Organization Active NPI

Protouch Physical Therapy Group LLC

  • Physical Therapist
  • Cranford, NJ
National Provider Identifier
1891164562
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROTOUCH PHYSICAL THERAPY GROUP LLC
Practice address
570 South Ave E Ste C
Cranford, NJ 07016-3200
Phone
(973) 207-9798
Fax
(973) 543-2054
NPI assigned
Sep 23, 2015
Last updated
May 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Scott T Gander, PTNPI 1831462522
Title
Owner
Phone
(908) 325-6556

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

570 South Ave E Ste C
Cranford, NJ 07016-3200

Mailing address

570 South Ave E
Building G Suite C
Cranford, NJ 07016-3200
Phone (973) 207-9798

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151124001053 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193025112 Receives reassigned benefits from 4 practitioners
Practice locations: Canford, NJ

National Provider Directory

National Provider Directory

Locations

570 South Ave E
Bldg C
Cranford, NJ 07016
Phone (655) 690-8325

570 South Ave E
Bldg G
Cranford, NJ 07016
Phone (908) 272-7990

Practitioners & affiliated clinicians

Practitioners 8

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": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1891164562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 SOUTH AVE E",
            "address_2": "BUILDING G SUITE C",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163200",
            "telephone_number": "973-207-9798",
            "fax_number": "973-543-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 SOUTH AVE E STE C",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163200",
            "telephone_number": "973-207-9798",
            "fax_number": "973-543-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTOUCH PHYSICAL THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "GANDER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-325-6556",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.