Jag Pediatric Therapy
NPI 1013255827 · Physical Therapy Clinic/Center · West Orange, NJ
Jag Pediatric Therapy is a Physical Therapy Clinic/Center organization in West Orange, NJ (NPI 1013255827).
Provider details
- NPI number
- 1013255827
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sandy Boules, Administrative Director(973) 477-6045
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-01-29
- Last updated
- 2013-01-29
Frequently asked questions
- What is Jag Pediatric Therapy's NPI number?
- Jag Pediatric Therapy's National Provider Identifier (NPI) is 1013255827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jag Pediatric Therapy?
- Jag Pediatric Therapy is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jag Pediatric Therapy located?
- Jag Pediatric Therapy's practice location on file with NPPES is 622 Eagle Rock Ave, West Orange, NJ 07052-2994.
- What is Jag Pediatric Therapy's phone number?
- The practice phone number listed in the NPPES registry for Jag Pediatric Therapy is (973) 669-0072.
- Who is the authorized official for Jag Pediatric Therapy?
- The authorized official listed on Jag Pediatric Therapy's NPPES record is Sandy Boules, Administrative Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jag Pediatric Therapy's NPI active?
- Yes — Jag Pediatric Therapy's NPI (1013255827) is active in the NPPES registry as of the last update on 2013-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.