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

Jose Ignacio

Individual provider Physical Therapist · NPI 1891883021

Jose Ignacio is a Physical Therapist in Private Practice in West Orange, New Jersey. Qualified in 1991, 35 years ago. Practices with Sportscare of America, PC, a 132-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
35
Licensed in
NJ
In the registry since
2006
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Practice location Address checks out

769 Northfield Ave Ste 132
West Orange, NJ 07052-1198
Phone: (973) 669-3500
Fax: (973) 669-3444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA00600900 (NJ)

Record details

NPI number1891883021
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESJuly 8, 2007
Mailing address33 Minnisink Dr, Roseland, NJ 07068-1113

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Sportscare Of America, Pc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Orange