SPECTRUM PHYSICAL THERAPY AND ATHLETIC TRAINING LLC
NPI 1417140906
Physical Therapist - Sports in Edgewater, NJ

NPI Status: Active since August 20, 2007

Contact Information

968 RIVER RD
2ND FLOOR
EDGEWATER, NJ
ZIP 07020
Phone: (201) 937-3600
Fax: (201) 731-5192

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  • Organization
  • Physical Therapist
  • Sports

About SPECTRUM PHYSICAL THERAPY AND ATHLETIC TRAINING LLC

This page provides the complete NPI Profile along with additional information for Spectrum Physical Therapy And Athletic Training Llc, a provider established in Edgewater, New Jersey operating as a Physical Therapist, focusing in sports . The healthcare provider is registered in the NPI registry with number 1417140906 assigned on August 2007. The practitioner's primary taxonomy code is 2251S0007X with license number NJ40QA01107700 (NJ). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Gregory R. Zacccone Pt, Dpt, Mspt, Scs (President)

NPI
1417140906
Provider Name
SPECTRUM PHYSICAL THERAPY AND ATHLETIC TRAINING LLC
Entity Type
Organization
Location Address
968 RIVER RD 2ND FLOOR EDGEWATER, NJ 07020
Location Phone
(201) 937-3600
Location Fax
(201) 731-5192
Mailing Address
1203 RIVER RD APT 5K EDGEWATER, NJ 07020
Mailing Phone
(201) 937-3600
Mailing Fax
(201) 731-5192
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2007
Last Update Date
08-26-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Sports

Taxonomy Code
2251S0007X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
NJ40QA01107700
License State
NJ
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GREGORY R. ZACCCONE PT, DPT, MSPT, SCS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(201) 937-3600

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417140906
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
242724090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 2 + 4 + 0 + 9 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1417140906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811937220CONTEMPORARY WOMENS HEALTH CARE LLC
Organization
Specialist968 RIVER RD SUITE 203
EDGEWATER, NJ 07020
(201) 969-9996
1316139983RADU CODEL MD PC
Organization
Internal Medicine (Cardiovascular Disease)968 RIVER RD
EDGEWATER, NJ 07020
(201) 969-0994
1992993018EDGEWATER FOOT AND ANKLE ASSOCIATES, PC
Organization
Podiatrist (Foot & Ankle Surgery)968 RIVER RD SUITE 100
EDGEWATER, NJ 07020
(201) 224-8300
1245506930GREGORY A PAPPAS MDPC
Organization
Specialist968 RIVER RD
EDGEWATER, NJ 07020
(201) 969-9700
1821082827 RADU CODEL M.D.
Individual
Internal Medicine (Cardiovascular Disease)968 RIVER RD
EDGEWATER, NJ 07020
(201) 969-0994
1144259383 VINOD R LALA MD
Individual
Specialist968 RIVER RD SUITE 203
EDGEWATER, NJ 07020
(201) 224-8328
1437220795DR. SHUBHA VARMA M.D.
Individual
Surgery (Vascular Surgery)968 RIVER RD
EDGEWATER, NJ 07020
(201) 224-0757
1386824696MRS. MADELINE RODRIGUEZ-HIRSCH MSN, APRN, CDCES
Individual
Nurse Practitioner (Primary Care)968 RIVER RD
EDGEWATER, NJ 07020
(201) 224-8328
1932616091MS. ANGELA MCDOWELL APN, CNM
Individual
Advanced Practice Midwife968 RIVER RD
EDGEWATER, NJ 07020
(201) 659-7700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417140906, enumerated in the NPI registry as an "organization" on August 20, 2007

The provider is located at 968 River Rd 2nd Floor Edgewater, Nj 07020 and the phone number is (201) 937-3600

This medical organization specializes in Physical Therapist with taxonomy code 2251S0007X with a focus in Sports

This NPI record was last updated on August 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.