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

Jag Pediatric Therapy

Organization Physical Therapy Clinic/Center · NPI 1013255827

Jag Pediatric Therapy is a Physical Therapy Clinic/Center in West Orange, New Jersey. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

622 Eagle Rock Ave
West Orange, NJ 07052-2994
Phone: (973) 669-0072
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 number1013255827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandy Boules — Administrative Director · (973) 477-6045
NPI enumeratedJanuary 29, 2013
Last updated in NPPESJanuary 29, 2013
Mailing address622 Eagle Rock Ave, West Orange, NJ 07052-2994

Other providers in West Orange