C.a.R.Y.N. Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA008403 00 Issued in NJ

Legal business name

C.A.R.Y.N. PHYSICAL THERAPY LLC

Practice address

82 N. Summit St.
1St Floor, Suite D
Tenafly, NJ 07670-2027

Phone

(201) 537-4888

Fax

(201) 734-6132

NPI assigned

Jul 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Purissa Alcuino Seville, PTNPI 1497738579

Title

Physical Therapist

Phone

(210) 537-4888

Specialties & licenses 2

Addresses

Other names 1

• Seville Physical Therapy LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Purissa A Seville, P.T.

  • Physical Therapist
  • Oradell, NJ
  • NPI 1497738579
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1043763931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 GARDEN PL",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492217",
            "telephone_number": "201-537-4888",
            "fax_number": "201-734-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 N. SUMMIT ST.",
            "address_2": "1ST FLOOR, SUITE D",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702027",
            "telephone_number": "201-537-4888",
            "fax_number": "201-734-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.A.R.Y.N. PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "SEVILLE",
        "authorized_official_first_name": "PURISSA",
        "authorized_official_middle_name": "ALCUINO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "210-537-4888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA008403 00",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seville Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seville Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.