Pro Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRO PHYSICAL THERAPY, LLC

Practice address

2 Emery Ave
Suite 3
Randolph, NJ 07869-1368

Phone

(973) 895-9925

Fax

(973) 895-9927

NPI assigned

Jul 26, 2006

Last updated

Oct 29, 2010By 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

Jodi E Devincentis, PT

Title

President

Phone

(973) 895-9925

Specialties & licenses 1

Addresses

Other names 1

• PRO Sports Medicine Former legal business name

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1962425314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EMERY AVE",
            "address_2": "SUITE 3",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691368",
            "telephone_number": "973-895-9925",
            "fax_number": "973-895-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EMERY AVE",
            "address_2": "SUITE 3",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691368",
            "telephone_number": "973-895-9925",
            "fax_number": "973-895-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "DEVINCENTIS",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-895-9925",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO Sports Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Colleen Frances Pires
• Tara Christine Plansky, DMD
• Prasada Center for Wellbeing East (Prasada In Home)
• Prasada Center for Wellbeing Inc
• Prime Healthcare Services - Saint Clare's, LLC (Saint Clare's Health - Lakeland Cardiology Center)
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
• Professional Portable Radiologic Services, Inc. (Professional Portable X-ray)
• Derek Protasiewicz
• Edit Punk, PTA

• Physical Therapist in Randolph, NJ
• Providers in Randolph, 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 Oct 29, 2010; 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.