JAG PEDIATRIC THERAPY
NPI 1013255827
Clinic/Center - Physical Therapy in West Orange, NJ

Active since January 29, 2013
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052(973) 669-0072 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jag Pediatric Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAG PEDIATRIC THERAPY (NPI 1013255827) is a healthcare organization registered as a physical therapy in West Orange, New Jersey and active in the NPI registry since January 2013. The organization lists Sandy Boules, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1013255827
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameJAG PEDIATRIC THERAPY
Location Address622 EAGLE ROCK AVEWest Orange, NJ 07052-2994
Mailing Address622 Eagle Rock AveWest Orange, NJ 07052-2994 · (973) 669-0072
Organization SubpartNo
Authorized OfficialSandy BoulesAdministrative Director · (973) 477-6045
Enumeration DateJanuary 29, 2013
NPI 1013255827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
622 EAGLE ROCK AVE, West Orange, NJ 07052

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052
Physical Therapist
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052
Physical Therapy Assistant
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052
Physical Therapist
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052
Dentist (General Practice)
622 EAGLE ROCK AVE, SUITE 105
WEST ORANGE, NJ 07052
Dentist (General Practice)
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052
Counselor (Professional)
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052
Physical Therapist
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jag Pediatric Therapy's NPI number?

The NPI number for Jag Pediatric Therapy is 1013255827. It was assigned to this organization in the NPPES registry on January 29, 2013.

Where is Jag Pediatric Therapy located?

Jag Pediatric Therapy is located at 622 Eagle Rock Ave, West Orange, NJ 07052. The listed phone number is (973) 669-0072.

What is Jag Pediatric Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Jag Pediatric Therapy was last updated on January 29, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.