PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC (NPI# 1780130567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780130567 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC |
| Practice Address |
1325 Warren Ave Spring Lake NJ 07762-2566 |
| Mailing Address |
576 Broadhollow Rd Melville NY 11747-5002 |
| Practice Telephone | 7324497855 |
| Practice Fax Number | 7324497856 |
| Mailing Telephone | 6313595859 |
| Mailing Fax Number | 6313960865 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2018-03-27 |
| Authorized Official Name | KATHLEEN BRUSH (CREDENTIALING COORDINATOR MANAGER) |
| Authorized Official Telephone | 6313595859 |
| 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 |
|---|---|---|---|---|---|
| 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 |
1325 WARREN AVE |
| City | SPRING LAKE |
| State | NJ |
| Zip Code | 07762-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255363255 | Brian Scott Simon | Physical Therapist | 1325 Warren Ave, Suite 5, Spring Lake, NJ 07762-2566 | 2006-07-07 |
| 1598246118 | Shawna Poltricitsky | Physical Medicine & Rehabilitation | 1325 Warren Ave, Spring Lake, NJ 07762-2566 | 2018-08-22 |
| 1821548306 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 1325 Warren Ave, Spring Lake, NJ 07762-2566 | 2016-10-10 |
| 1932524667 | Brian Brateris | Physical Therapist | 1325 Warren Ave, Spring Lake, NJ 07762-2566 | 2014-03-05 |
| 1962743930 | Timothy James Harris | Physical Therapist | 1325 Warren Ave, Spring Lake, NJ 07762-2566 | 2013-03-15 |
| 1346553807 | Dustin C Fullaway | Physical Therapist | 1325 Warren Ave, Suite 5, Spring Lake, NJ 07762-2566 | 2010-07-26 |
| 1205902129 | Michael Edward Rothman | Family Medicine | 1325 Warren Ave, Ste 6, Spring Lake, NJ 07762-2567 | 2006-11-24 |
| 1942227400 | Eileen Gurgone | Physical Therapist | 1325 Warren Ave, Suite 5, Spring Lake, NJ 07762-2566 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700214723 | Stefanie Granzin | Marriage & Family Therapist | 10 Devon Court, Spring Lake, NJ 07762 | 2013-10-30 |
| 1770747610 | Mariela J Pazos | Veterinarian | 410 Essex Ave, Spring Lake, NJ 07762 | 2008-07-10 |
| 1033384730 | Nicholas F Graziano | Dentist | 101 Rt 46 West, Saddlebrook, NJ 07762 | 2008-04-24 |
| 1427187475 | Jennifer Easton Slovak | Social Worker | 712 Wall Road, Spring Lake Heights, NJ 07762 | 2007-03-05 |
| 1265527014 | John Paul Vetovick | Dentist | 2028 Hwy 71, Spring Lake Hts, NJ 07762 | 2006-10-04 |
| 1780778357 | John Charles | Marriage & Family Therapist | 1405 Third Ave, Spring Lake, NJ 07762 | 2006-10-03 |
| 1922036367 | Phillip J Lobuono | Dermatology | 211 Highway 71, Spring Lake Heights, NJ 07762 | 2006-06-28 |
| 1962448035 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 2006 State Highway 35, Springlake, NJ 07762 | 2006-06-20 |
| 1235107269 | Joseph A Duddy IIi | Dentist | 1010 Highway 71, Spring Lake Heights, NJ 07762 | 2006-03-08 |
| 1730153321 | Paul A Pardon | Internal Medicine | 512 Warren Ave., Spring Lake, NJ 07762 | 2006-02-13 |
| Find all providers in zip 07762 | ||||
| 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 |
|---|---|---|---|---|
| 1497313613 | Jaime Nicole Delgenio | Physical Therapist | 1530 N Bragg Blvd, Spring Lake, NC 28390-2011 | 2019-06-03 |
| 1770982670 | Shawna Smith | Physical Therapist | 14602 State Rd, Spring Lake, MI 49456-9137 | 2014-08-15 |
| 1174859763 | David A Buursma | Physical Therapist | 16140 148th Avenue, Spring Lake Community Fitness & Aquatic Center, Spring Lake, MI 49456 | 2009-11-02 |
| 1730332412 | Eric J Bastian | Physical Therapist | 18000 Cove St Ste 202, Spring Lake, MI 49456-1383 | 2008-10-28 |
| 1932320421 | Julie A Bench | Physical Therapist | 15414 Stoneridge Ct, Spring Lake, MI 49456 | 2007-05-01 |
| 1710071360 | Link Dephouse | Physical Therapist | 16200 Old Orchard Dr, Spring Lake, MI 49456 | 2006-10-03 |
| 1255363255 | Brian Scott Simon | Physical Therapist | 1325 Warren Ave, Suite 5, Spring Lake, NJ 07762-2566 | 2006-07-07 |
| 1063470490 | Jennifer M Mccann-bauer | Physical Therapist | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1299 | 2006-05-03 |
| 1700863370 | Robin Isaacs | Physical Therapist | 17210 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2005-12-27 |
| 1609488311 | Jessica J Meengs | Physical Therapist | 18000 Cove St Ste 202, Spring Lake, MI 49456-1383 | 2020-08-24 |
| Find all providers in SPRING LAKE | ||||
| City | SPRING LAKE |
| Zip Code | 07762 |
Please comment or provide details below to improve the information on PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC.
| 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.