OrganizationActive
Authentic Physical Therapy LLC
NPI 1245125723 · Physical Therapy Clinic/Center · Elizabeth, NJ
Provider details
- NPI number
- 1245125723
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tati Harsono, Physical Therapist(201) 256-3623
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
265 W Grand St
Elizabeth, NJ 07202-1205
Phone: (201) 256-3623
Fax: (201) 256-3632
Street-level locationGet directions
Mailing address
265 W Grand St
Elizabeth, NJ 07202-1205
Registry dates
- Enumerated
- 2025-06-12
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.