Jake Grootenboer, P.T.

Physical Therapist · Paramus, NJ

Individual Active NPI

NPI number 1275201394

Practice location

776 N Rte 17
Paramus, NJ 07652-3117
Phone
(201) 225-9222
Fax
(201) 225-9223

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NPI record

NPI
1275201394
Entity type
Individual (Type 1)
Enumeration date
September 2, 2021
Last updated
August 15, 2024
Certified
August 15, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 40QA02030000 NJ

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone
(732) 807-0877
Fax
(201) 751-1680

Other practice locations (3)

  • 650 From Rd Ste 420, Paramus, NJ 07652-3551 · (201) 639-6620
  • 50 Craig Rd, Montvale, NJ 07645-1709 · (201) 639-6620
  • 795 Franklin Ave Bldg A, Franklin Lakes, NJ 07417-1368 · (201) 972-8967

About Jake Grootenboer

Jake Grootenboer, P.T. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 776 N Rte 17, Paramus, NJ 07652-3117. The NPI number 1275201394 was assigned on September 2, 2021 and the record was last updated on August 15, 2024.

Jake Grootenboer lists a license in the registry: #40QA02030000 (NJ) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jake Grootenboer, P.T.?

The NPI number is 1275201394.

What is the phone number of Jake Grootenboer?

The phone number listed for the practice location is (201) 225-9222.

Where is Jake Grootenboer located?

776 N Rte 17, Paramus, NJ 07652-3117.

What is the taxonomy code for Jake Grootenboer?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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