Uctcnj LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00954300 Issued in NJ

Legal business name

UCTCNJ LLC

Practice address

2698 Route 516 Ste B
Old Bridge, NJ 08857-2305

Phone

(732) 333-1937

Fax

(732) 333-1904

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Marina Dreytser, MSPTNPI 1700917622

Title

Owner

Phone

(732) 333-1937

Specialties & licenses 1

Addresses

Other names 1

• UNIVERSAL CAGE THERAPY CENTER OF NJ Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Marina Dreytser, MSPT

  • Physical Therapist
  • Old Bridge, NJ
  • NPI 1700917622
  Medicare reassignment NPD Authorized official
• Alexis Gabel, DPT

  • Physical Therapist
  • Old Bridge, NJ
  • NPI 1831859297
  Medicare reassignment NPD

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1932574647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2698 ROUTE 516 STE B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572305",
            "telephone_number": "732-333-1937",
            "fax_number": "732-333-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 ROUTE 516 STE B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572305",
            "telephone_number": "732-333-1937",
            "fax_number": "732-333-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCTCNJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "DREYTSER",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-333-1937",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00954300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSAL CAGE THERAPY CENTER OF NJ",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UNIVERSAL CAGE THERAPY CENTER OF NJ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.