Active NPIOrganization

Authentic Physical Therapy LLC

Clinic/Center, Physical Therapy in Elizabeth, New Jersey

NPI Number1245125723
Practice location
265 W Grand St, Elizabeth, NJ 07202-1205
Fax
201-256-3632
Last updated
July 23, 2025

Authentic Physical Therapy LLC is a healthcare organization based in Elizabeth, NJ. Authentic Physical Therapy LLC practices in Elizabeth, NJ. The NPI Number for Authentic Physical Therapy LLC is 1245125723. The current practice location address for Authentic Physical Therapy LLC is 265 W Grand St, Elizabeth, NJ 07202-1205 and can be reached out via phone at 201-256-3623 and via fax at 201-256-3632.

Provider Profile Details

NPI Number
1245125723
Provider Name
Authentic Physical Therapy LLC
Provider Entity Type
Organization
Address
265 W Grand St, Elizabeth, NJ 07202-1205
Phone Number
201-256-3623
Fax Number
201-256-3632
Primary Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X
Organization Subpart
No
Authorized Official
Tati B Harsono, PT · Physical Therapist · 201-256-3623
Provider Enumeration Date
June 12, 2025
Last Update Date
July 23, 2025
Certification Date
July 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
265 W Grand St
Elizabeth, NJ 07202-1205
Zip
07202-1205
Phone Number
201-256-3623
Fax Number
201-256-3632
Elizabeth, NJ 07202Get directions →

Provider Business Mailing Address Details

Address
265 W Grand St
Elizabeth, NJ 07202-1205
City
Elizabeth
State
NJ
Zip
07202-1205
Phone Number
201-256-3623
Fax Number
201-256-3632

License Information

Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Authentic Physical Therapy LLC?

The NPI number of Authentic Physical Therapy LLC is 1245125723. It was assigned on June 12, 2025 and is currently active in the NPPES registry.

What is the specialty of Authentic Physical Therapy LLC?

Authentic Physical Therapy LLC is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X).

Where does Authentic Physical Therapy LLC practice?

The practice location is 265 W Grand St, Elizabeth, NJ 07202-1205. The office can be reached at 201-256-3623 (phone) or 201-256-3632 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245125723 directly on the NPPES registry website.

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