PROFUNCTION PHYSICAL THERAPY LLC
NPI 1033267323
Clinic/Center - Physical Therapy in Cranford, NJ

Active since January 05, 2007
30 S UNION AVE, CRANFORD, NJ 07016(908) 653-1776(908) 653-1779 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Profunction Physical Therapy Llc NPPES

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

PROFUNCTION PHYSICAL THERAPY LLC (NPI 1033267323) is a healthcare organization registered as a physical therapy in Cranford, New Jersey and active in the NPI registry since January 2007. The organization lists Jose Tan, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1033267323
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePROFUNCTION PHYSICAL THERAPY LLC
Location Address30 S UNION AVECranford, NJ 07016-2833
Mailing Address30 S Union AveCranford, NJ 07016-2833 · (908) 653-1776 · Fax (908) 653-1779
Fax(908) 653-1779
Organization SubpartNo
Authorized OfficialJose TanPhysical Therapist · (908) 653-1776
Enumeration DateJanuary 5, 2007
Last NPPES UpdateApril 18, 2012
✔ NPI 1033267323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in NJ · 40QA00814100
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.
30 S UNION AVE, Cranford, NJ 07016

Other Identifiers 1

Medicare PIN076224NJ

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Profunction Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20040324001209Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Profunction Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1053460519
30 S UNION AVE
Cranford, NJ 07016
(908) 653-1776
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1447309091
30 S UNION AVE
Cranford, NJ 07016
(908) 653-1776
✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Profunction Physical Therapy LLC's NPI number?

The NPI number for Profunction Physical Therapy LLC is 1033267323. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Profunction Physical Therapy LLC located?

Profunction Physical Therapy LLC is located at 30 S Union Ave, Cranford, NJ 07016. The listed phone number is (908) 653-1776.

What is Profunction Physical Therapy LLC's specialty?

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

Is Profunction Physical Therapy LLC enrolled in Medicare?

Yes. Profunction Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

When is Profunction Physical Therapy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Profunction Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Profunction Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Profunction Physical Therapy LLC was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.