Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Authentic Physical Therapy LLC

Organization Physical Therapy Clinic/Center · NPI 1245125723

Authentic Physical Therapy LLC is a Physical Therapy Clinic/Center in Elizabeth, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

265 W Grand St
Elizabeth, NJ 07202-1205
Phone: (201) 256-3623
Fax: (201) 256-3632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1245125723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tati Harsono — Physical Therapist · (201) 256-3623
NPI enumeratedJune 12, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address265 W Grand St, Elizabeth, NJ 07202-1205

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