Origin Physical Therapy (NJ), LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ORIGIN PHYSICAL THERAPY (NJ), LLC

Practice address

820 Bear Tavern Rd
Ewing, NJ 08628-1021

Phone

(310) 479-2323

NPI assigned

Apr 18, 2023

Last updated

Apr 11, 2024By 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

Sarah Clampett, PT, DPTNPI 1629440565

Title

Owner

Phone

(310) 479-2323

Specialties & licenses 1

Addresses

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.

• Sarah Catherine Clampett, PT, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1629440565
  Authorized official Same address or phone

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1912693326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 UPLAND DR.",
            "address_2": "PMB 19899",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BEAR TAVERN RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086281021",
            "telephone_number": "310-479-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN PHYSICAL THERAPY (NJ), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "CLAMPETT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-479-2323",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.