Organization Active NPI

United Sports Care & Physical Therapy

  • Occupational Therapist
  • Cedar Knolls, NJ
National Provider Identifier
1972881233
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
UNITED SPORTS CARE & PHYSICAL THERAPY
Practice address
218 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-2109
Phone
(973) 887-9000
Fax
(973) 887-3816
NPI assigned
Aug 3, 2011
Last updated
Jan 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Elizabeth A Lantigua
Title
Contract Manager
Phone
(973) 929-3351

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

218 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-2109

Mailing address

11 Eagle Rock Ave Ste 201
East Hanover, NJ 07936-3167
Phone (973) 887-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111213000548 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436324886 Receives reassigned benefits from 226 practitioners
Practice locations: Cedar Knolls, NJ; West New York, NJ; Toms River, NJ; Springfield, NJ; Rochelle Park, NJ; Red Bank, NJ; Paramus, NJ; Middletown, NJ…
O20241203000437 NJ DME Supplier - Independently-Practicing Occupational Therapist 9436324886 Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Locations

33 W 8th St
Bayonne, NJ 07002
Phone (201) 858-0550

218 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 359-0777

17-17 Route 208
Ste 116
Fair Lawn, NJ 07410
Phone (201) 291-0750

757 State Route 15 S
Ste 102
Lake Hopatcong, NJ 07849
Phone (973) 860-0522

1255 Route 70
Ste 32N
Lakewood, NJ 08701
Phone (732) 901-4747

1860 Highway 35
Middletown, NJ 07748
Phone (732) 615-0099

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

234 Stelton Rd
Fl 2
Piscataway, NJ 08854
Phone (732) 968-1999

470 N Franklin Tpke
Ste 200
Ramsey, NJ 07446
Phone (201) 995-6960

5 W Passaic St
Ste 2B
Rochelle Park, NJ 07662
Phone (201) 375-6935

609 Morris Ave
Ste 2
Springfield, NJ 07081
Phone (973) 671-3200

530 Lakehurst Rd
Ste 202204
Toms River, NJ 08755
Phone (732) 349-1201

530 Lakehurst Rd
Ste 204
Toms River, NJ 08755
Phone (732) 349-1201

2055 Hamburg Tpke
Ste 2
Wayne, NJ 07470
Phone (973) 835-0909

Practitioners & affiliated clinicians

Practitioners 251

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.

View all 251

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1972881233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE STE 201",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 RIDGEDALE AVE",
            "address_2": "SUITE 103",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272109",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SPORTS CARE & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "LANTIGUA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "973-929-3351"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.