JAG-ONE PHYSICAL THERAPY, LLC
NPI 1518017144
Physical Therapist in West Orange, NJ

Active since January 12, 2007
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052(973) 669-0078(973) 669-1113 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2019, Jul 18, 2018 (2 updates tracked since 2018).

About Jag-one Physical Therapy, Llc NPPES

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

JAG-ONE PHYSICAL THERAPY, LLC (NPI 1518017144), doing business as Jag Physical Therapy Llc, is a healthcare organization registered as a physical therapist in West Orange, New Jersey and active in the NPI registry since January 2007. The organization lists John Anthony Gallucci, Owner, as its authorized official.

NPPES Registry Identity

NPI1518017144
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameJAG-ONE PHYSICAL THERAPY, LLC
Location Address622 EAGLE ROCK AVEWest Orange, NJ 07052-2994
Mailing Address622 Eagle Rock AveWest Orange, NJ 07052-2994 · (973) 669-0078 · Fax (973) 669-1113
Fax(973) 669-1113
Organization SubpartNo
Authorized OfficialJohn Anthony GallucciOwner · (973) 669-0078
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 6, 20192 updates tracked since enumeration
✔ NPI 1518017144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NJ · 40QA01172700
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
622 EAGLE ROCK AVE, West Orange, NJ 07052

Other Names 1

Former Legal Business NameJag Physical Therapy Llc

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

469

Medicare enrollment records show 469 clinicians reassign Medicare billing to Jag-One Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 77 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice441
Occupational Therapist in Private Practice28

Nearest to this location (20)

See all 469
Physical Therapist in Private Practice
NPI 1295134468
622 EAGLE ROCK AVE SUIT 104
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1962747980
622 EAGLE ROCK AVE UNIT 5
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1962553537
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1154877058
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1780735316
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1346314093
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
Same address
Physical Therapist in Private Practice
NPI 1457675977
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1609310051
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1215279815
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1669107868
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1275395840
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1841175544
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1538989389
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1275880676
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1619132768
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1518744267
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
Same address
Physical Therapist in Private Practice
NPI 1760213961
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1346073541
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1649790833
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1578044889
622 EAGLE ROCK AVE # 102
West Orange, NJ 07052
(973) 669-0078
✔ Accepts MedicareSame address
See all 469 clinicians

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 Jag-One Physical Therapy, LLC's NPI number?

The NPI number for Jag-One Physical Therapy, LLC is 1518017144. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider was formerly known as Jag Physical Therapy LLC.

Where is Jag-One Physical Therapy, LLC located?

Jag-One Physical Therapy, LLC is located at 622 Eagle Rock Ave, West Orange, NJ 07052. The listed phone number is (973) 669-0078.

What is Jag-One Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jag-One Physical Therapy, LLC enrolled in Medicare?

Yes. Jag-One Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jag-One Physical Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 469 clinicians in 2 Medicare specialties reassign their Medicare billing to Jag-One 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. The largest specialties are Physical Therapist in Private Practice (441) and Occupational Therapist in Private Practice (28). Of these, 20 practice at this address and 77 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 Jag-One Physical Therapy, LLC was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.