Port Imperial Therapy Group LLC
NPI 1679019996 · Physical Therapist · Weehawken, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Port Imperial Therapy Group LLC is a Physical Therapist organization in Weehawken, NJ (NPI 1679019996).
Provider details
- NPI number
- 1679019996
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jaclyn Fulop, Clinic Director(201) 272-9400
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Other names (DBA / former)
- Former legal business name
- Port Imperial Therapy Group
Registry dates
- Enumerated
- 2017-01-10
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Frequently asked questions
- What is Port Imperial Therapy Group LLC's NPI number?
- Port Imperial Therapy Group LLC's National Provider Identifier (NPI) is 1679019996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Imperial Therapy Group LLC?
- Port Imperial Therapy Group LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Port Imperial Therapy Group LLC located?
- Port Imperial Therapy Group LLC's practice location on file with NPPES is 500 Ave at Port Imperial Blvd Ste 110, Weehawken, NJ 07086-7542.
- What is Port Imperial Therapy Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Port Imperial Therapy Group LLC is (201) 272-9400.
- Does Port Imperial Therapy Group LLC accept Medicare?
- Port Imperial Therapy Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Port Imperial Therapy Group LLC?
- The authorized official listed on Port Imperial Therapy Group LLC's NPPES record is Jaclyn Fulop, Clinic Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Imperial Therapy Group LLC's NPI active?
- Yes — Port Imperial Therapy Group LLC's NPI (1679019996) is active in the NPPES registry as of the last update on 2025-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.