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

Port Imperial Therapy Group LLC

Organization Physical Therapist · NPI 1679019996

Port Imperial Therapy Group LLC is a Physical Therapist in Weehawken, New Jersey. Registered with an NPI since 2017.

In the registry since
2017
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

500 Ave At Port Imperial Blvd Ste 110
Weehawken, NJ 07086-7542
Phone: (201) 272-9400
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1679019996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaclyn Fulop — Clinic Director · (201) 272-9400
Other names Port Imperial Therapy Group
NPI enumeratedJanuary 10, 2017
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086-7542

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