Innovative Jogo Physical Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

INNOVATIVE JOGO PHYSICAL THERAPY

Practice address

2204 Route 18 N
Old Bridge, NJ 08857-3473

Phone

(732) 415-1600

NPI assigned

Oct 30, 2023

Last updated

Aug 1, 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

Denise Tavares

Title

Billing Manager

Phone

(732) 415-1600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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.

• Amita Mali, MSPT

  • Physical Therapist
  • Edison, NJ
  • NPI 1114203163
  Medicare reassignment Care Compare group NPD
• Priya Manan Sheth, PT

  • Physical Therapist
  • Matawan, NJ
  • NPI 1962939751
  Medicare reassignment Care Compare group NPD
• Aditi Chandan, DPT

  • Physical Therapist
  • Mountainside, NJ
  • NPI 1114304359
  Medicare reassignment Care Compare group
• Tanvi S Patel

  • Physical Therapist
  • New York, NY
  • NPI 1053918474

  NJ

  Medicare reassignment Care Compare group
• Suresh Babu, PT, DPT, MS

  • Orthopedic Physical Therapist
  • Kendall Park, NJ
  • NPI 1659434538
  NPD

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1922870229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 ROUTE 18 N",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 ROUTE 18 N",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573473",
            "telephone_number": "732-415-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE JOGO PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "TAVARES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "732-415-1600"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jeanne Hye, PSY.D.
• Katerina Iannacone, PT, DPT
• Hellen Ibrahim, PA-C
• Lilian Akinyi Ilamahana, NURSE PRACTITIONER
• Innerspace Counseling, LLC
• Innovative Physical Rehab and Wellness Center
• Inspire Pelvic Rehab LLC
• Instep Podiatry
• Irina Sokolinskaya Apn PC (Quality Healthcare & Wellness Center)
• Island Heights Pediatrics

• Physical Medicine & Rehabilitation Physician in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.