PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC (NPI# 1528429545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528429545 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC |
| Practice Address |
1 Greenwood Ave Montclair NJ 07042-3649 |
| Mailing Address |
576 Broadhollow Rd Melville NY 11747-5002 |
| Practice Telephone | 9738415519 |
| Practice Fax Number | 9737465030 |
| Mailing Telephone | 6313595859 |
| Mailing Fax Number | 6313960865 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2018-03-28 |
| Authorized Official Name | KATHLEEN BRUSH (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7188196805 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275045007 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Physical Therapist | 30 Vreeland Rd Bldg A, Florham Park, NJ 07932-1901 | 2017-11-02 |
| 1326599374 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Physical Therapist | 5 Marine View Plz, Hoboken, NJ 07030-5756 | 2016-10-14 |
| 1184170979 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Physical Therapist | 21 Headquarters Plz Lowr Lobby, Morristown, NJ 07960-3963 | 2016-08-31 |
| 1588012181 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Occupational Therapist | 160 Franklin Ave, Nutley, NJ 07110-3075 | 2016-05-25 |
| 1033567631 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Occupational Therapist | 691 Bloomfield Ave, Montclair, NJ 07042-2238 | 2016-05-25 |
| 1184085102 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Occupational Therapist | 22 Hollywood Ave, Ho Ho Kus, NJ 07423-1437 | 2016-03-18 |
| 1033549167 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Clinic/Center | 3053 Us Highway 46, C/o Blink Fitness, Parsippany, NJ 07054-1233 | 2013-11-27 |
| 1417293051 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Physical Therapist | 776 N Rte 17, Paramus, NJ 07652-3108 | 2013-01-01 |
| 1861993024 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Physical Therapist | 137 Main Rd Fl 2, Montville, NJ 07045-9231 | 2018-02-23 |
| 1972054062 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Physical Therapist | 250 River St, Hackensack, NJ 07601-7514 | 2016-10-24 |
| Street Address |
1 GREENWOOD AVE |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902847049 | Kevin Duffus | Physical Therapist | 1 Greenwood Ave, Suite 100, Montclair, NJ 07042-3617 | 2006-06-09 |
| 1407454861 | Lindsay Tobey | Physical Therapist | 1 Greenwood Ave, Montclair, NJ 07042-3649 | 2020-10-16 |
| 1144839051 | William Lovejoy | Physical Therapist | 1 Greenwood Ave, Montclair, NJ 07042-3649 | 2020-07-27 |
| 1780228254 | Michael Tolerico | Occupational Therapist | 1 Greenwood Ave, Montclair, NJ 07042-3649 | 2019-10-29 |
| 1154977957 | Melissa Gill | Physical Therapy Assistant | 1 Greenwood Ave, Montclair, NJ 07042-3649 | 2019-08-16 |
| 1043776131 | Michael Habersaat | Physical Therapist | 1 Greenwood Ave, Montclair, NJ 07042-3649 | 2019-02-14 |
| 1548748627 | Thomas Ventura | Physical Therapist | 1 Greenwood Ave, Montclair, NJ 07042-3649 | 2018-08-01 |
| 1972094795 | Anthony Otalora-sugaste | Physical Therapist | 1 Greenwood Ave, Montclair, NJ 07042-3649 | 2018-05-29 |
| 1457849051 | Rachael Kim | Occupational Therapist | 1 Greenwood Ave, Montclair, NJ 07042-3649 | 2018-04-29 |
| 1255847364 | Joella Pounds | Specialist/Technologist | 1 Greenwood Ave, Montclair, NJ 07042-3649 | 2017-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755560 | Camille Fabis | Physical Therapist | 4247 Vals Way, Montclair, VA 22025-1140 | 2020-09-22 |
| 1194338814 | Blueprint Physical Therapy and Wellness LLC | Physical Therapist | 13 Wilfred St Apt 2, Montclair, NJ 07042-1643 | 2020-08-24 |
| 1316561673 | Alisa Meghani | Physical Therapist | 30 Mission St Apt 2, Montclair, NJ 07042-4518 | 2020-06-02 |
| 1780196014 | Jasmine Scarborough | Physical Therapist | 49 Claremont Ave Ste 5, Montclair, NJ 07042-4854 | 2017-10-26 |
| 1932625316 | Ryan William Goodell | Physical Therapist | 45 Church St Apt D-12, Montclair, NJ 07042-2733 | 2017-08-17 |
| 1023444817 | Laura Ann Crandall | Physical Therapist | 267 Park St, Montclair, NJ 07043-1732 | 2013-09-24 |
| 1487905444 | Russell K. Ditchfield-agboh | Physical Therapist | 141 Walnut St Apt 2, Montclair, NJ 07042-3885 | 2012-09-30 |
| 1225266448 | Lavosky Physical Therapy & Consulting, LLC | Physical Therapist | 22 Euclid Pl, Montclair, NJ 07042-5022 | 2009-06-25 |
| 1144404039 | Lake Ridge Physical Therapy, LLC. | Physical Therapist | 5139 Waterway Dr, Montclair, VA 22025-1261 | 2007-12-27 |
| 1366635633 | Frank M Failla | Physical Therapist | 193 Bellevue Ave, Montclair, NJ 07043-1820 | 2007-08-21 |
| Find all providers in MONTCLAIR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.