PORT IMPERIAL THERAPY GROUP LLC
NPI 1679019996
Physical Therapist in Weehawken, NJ
About Port Imperial Therapy Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORT IMPERIAL THERAPY GROUP LLC (NPI 1679019996), doing business as Port Imperial Therapy Group, is a healthcare organization registered as a physical therapist in Weehawken, New Jersey and active in the NPI registry since January 2017. The organization lists Jaclyn Fulop, Clinic Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- 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.
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Port Imperial Therapy Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Port Imperial Therapy Group LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Weehawken, NJ 07086
Weehawken, NJ 07086
Weehawken, NJ 07086
Weehawken, NJ 07086
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 Port Imperial Therapy Group LLC's NPI number?
The NPI number for Port Imperial Therapy Group LLC is 1679019996. It was assigned to this organization in the NPPES registry on January 10, 2017. The provider was formerly known as Port Imperial Therapy Group.
Where is Port Imperial Therapy Group LLC located?
Port Imperial Therapy Group LLC is located at 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086. The listed phone number is (201) 272-9400.
What is Port Imperial Therapy Group LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Port Imperial Therapy Group LLC enrolled in Medicare?
Yes. Port Imperial Therapy Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Port Imperial Therapy Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Port Imperial Therapy Group 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Port Imperial Therapy Group LLC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.