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

Jag-One Physical Therapy, LLC

Organization Physical Therapist · NPI 1518017144

Jag-One Physical Therapy, LLC is a Physical Therapist in West Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
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

622 Eagle Rock Ave
West Orange, NJ 07052-2994
Phone: (973) 669-0078
Fax: (973) 669-1113
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01172700 (NJ)

Record details

NPI number1518017144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Gallucci — Owner · (973) 669-0078
Other names Jag Physical Therapy Llc
NPI enumeratedJanuary 12, 2007
Last updated in NPPESAugust 6, 2019
Mailing address622 Eagle Rock Ave, West Orange, NJ 07052-2994

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