Active NPI
Maywood in Motion Physical Therapy and Wellness
- Physical Therapist
- Maywood, NJ
National Provider Identifier
1104662659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MAYWOOD IN MOTION PHYSICAL THERAPY AND WELLNESS
- Practice address
- 37 Brook Ave
Maywood, NJ 07607-1130 - Phone
- (973) 572-5645
- NPI assigned
- Jul 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nisha Shah, PT
- Title
- Owner/Physical Therapist
- Phone
- (973) 572-5645
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
37 Brook Ave
Maywood, NJ 07607-1130
Mailing address
37 Brook Ave
Maywood, NJ 07607-1130
Phone (973) 572-5645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
300 Broadacres Dr
Ste 126C
Bloomfield, NJ 07003
37 Brook Ave
Ste 100
Maywood, NJ 07607
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Carteret, NJ
- NPI 1154671881
-
- Physical Therapist
- Morris Plains, NJ
- NPI 1104248350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719964800000",
"number": "1104662659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 BROOK AVE",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071130",
"telephone_number": "973-572-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 BROOK AVE",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071130",
"telephone_number": "973-572-5645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYWOOD IN MOTION PHYSICAL THERAPY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-03",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "NISHA",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "973-572-5645",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.