Pen Physical Therapy & Rehab Services, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PEN PHYSICAL THERAPY & REHAB SERVICES, P.C.

Practice address

1450 Parkside Ave
Suite 26
Ewing, NJ 08638-2946

Phone

(609) 406-9363

NPI assigned

May 9, 2007

Last updated

Nov 12, 2009By 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

Comfort Ogbonna

Title

Director

Phone

(609) 406-9363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1952515058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 PARKSIDE AVE",
            "address_2": "SUITE 26",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086382946",
            "telephone_number": "609-406-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 PARKSIDE AVE",
            "address_2": "SUITE 26",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086382946",
            "telephone_number": "609-406-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEN PHYSICAL THERAPY & REHAB SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "OGBONNA",
        "authorized_official_first_name": "COMFORT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-406-9363"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.