Procore Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROCORE PHYSICAL THERAPY

Practice address

2651 Route 10 East
Morris Plains, NJ 07950

Phone

(973) 464-6356

NPI assigned

Dec 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Raffaele Lagonigro, DPT

Title

Physical Therapist, Owner

Phone

(973) 464-6356

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1962747600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ALLISTER CT",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351760",
            "telephone_number": "973-464-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 ROUTE 10 EAST",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "07950",
            "telephone_number": "973-464-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCORE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "LAGONIGRO",
        "authorized_official_first_name": "RAFFAELE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "973-464-6356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikole Popo
• Christopher C Poppe, RPH CCP
• PPS of NJ LLC
• Primary Care Partners LLC
• Prime Healthcare Services - Saint Clare'S, LLC
• Jacqueline Pysher
• Olivia Qiu
• Marie C. Rabanal, M.D
• Janis Radziszewski
• Jonathan Rand

• Physical Therapy Clinic/Center in Morris Plains, NJ
• Providers in Morris Plains, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.