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BEREDO PHYSICAL THERAPY AND WELLNESS, LLC
NPI 1457780421
Specialist in Bayonne, NJ

Active since November 11, 2013
267 BROADWAY, BAYONNE, NJ 07002(201) 354-9580(201) 354-9581 Get Directions Write a Review

NPPES record last updated: November 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beredo Physical Therapy And Wellness, Llc NPPES

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

BEREDO PHYSICAL THERAPY AND WELLNESS, LLC (NPI 1457780421) is a healthcare organization registered as a specialist in Bayonne, New Jersey and active in the NPI registry since November 2013. The organization lists Gary Beredo, Physical Therapist/ceo, as its authorized official.

NPPES Registry Identity

NPI1457780421
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBEREDO PHYSICAL THERAPY AND WELLNESS, LLC
Location Address267 BROADWAYBayonne, NJ 07002-2519
Mailing Address267 BroadwayBayonne, NJ 07002-2519 · (201) 354-9580 · Fax (201) 354-9581
Phone(201) 354-9580
Fax(201) 354-9581
Organization SubpartNo
Authorized OfficialGary BeredoPhysical Therapist/ceo · (201) 354-9580
Enumeration DateNovember 11, 2013
✔ NPI 1457780421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 40QA01002900
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
267 BROADWAY, Bayonne, NJ 07002
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

JOANNA MAIDA PT, DPT
Physical Therapist
267 BROADWAY
BAYONNE, NJ 07002
Hudson County (551) 230-4874
DR. MARELLE GHOBRYAL DC
Chiropractor
267 BROADWAY
BAYONNE, NJ 07002
Hudson County (551) 301-8113

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 Beredo Physical Therapy And Wellness, LLC's NPI number?

The NPI number for Beredo Physical Therapy And Wellness, LLC is 1457780421. It was assigned to this organization in the NPPES registry on November 11, 2013.

Where is Beredo Physical Therapy And Wellness, LLC located?

Beredo Physical Therapy And Wellness, LLC is located at 267 Broadway, Bayonne, NJ 07002. The listed phone number is (201) 354-9580.

What is Beredo Physical Therapy And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Beredo Physical Therapy And Wellness, LLC was last updated on November 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.