Healthcare Provider Details

I. General information

NPI: 1770379125
Provider Name (Legal Business Name): JOINTKARE PHYSICAL THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 OAK TREE RD STE 203
EDISON NJ
08820-2070
US

IV. Provider business mailing address

11 DEERWOOD AVE
EDISON NJ
08817-3305
US

V. Phone/Fax

Practice location:
  • Phone: 732-662-5770
  • Fax: 732-358-0508
Mailing address:
  • Phone: 347-549-0957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: INGRID KAREN BUSTO GONZAGA
Title or Position: ADMININSTRATIVE OFFICER
Credential: PT
Phone: 347-549-0957