OrganizationActive
Mgt Physical Therapy LLC
NPI 1033547005 · Physical Disabilities Residential Treatment Facility · South Amboy, NJ
Provider details
- NPI number
- 1033547005
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Eduardo Trujillo, Physical Therapist(732) 609-1547
- License
- 40QAO1259300 (NJ)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
112 N Broadway Apt E
South Amboy, NJ 08879-1675
Phone: (732) 609-1547
Street-level locationGet directions
Mailing address
112 N Broadway Apt E
South Amboy, NJ 08879-1675
Registry dates
- Enumerated
- 2013-10-29
- Last updated
- 2013-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.