Organization Active NPI

Masters & Raines Advanced Healing Therapy Center LLC

  • Physical Therapy Clinic/Center
  • Clifton, NJ
National Provider Identifier
1114959673
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MASTERS & RAINES ADVANCED HEALING THERAPY CENTER LLC
Practice address
1425 Broad St Ste 4
Clifton, NJ 07013-4201
Phone
(973) 744-7774
Fax
(866) 621-5272
NPI assigned
Jul 7, 2006
Last updated
Dec 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Mr. Joey RainesNPI 1518999085
Title
Director
Phone
(973) 744-7774

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 18KT00636900 NJ
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1425 Broad St Ste 4
Clifton, NJ 07013-4201

Mailing address

13874 Bently Cir
Fort Myers, FL 33912-1987
Phone (973) 744-7774

Other practice location 1

13874 Bently Cir
Fort Myers, FL 33912-1987
Phone (973) 868-6399 ext. 97386

National Provider Directory

National Provider Directory

Locations

1425 Broad St
Ste 4
Clifton, NJ 07013
Phone (973) 773-8244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1114959673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13874 BENTLY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121987",
            "telephone_number": "973-744-7774",
            "fax_number": "866-621-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BROAD ST STE 4",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134201",
            "telephone_number": "973-744-7774",
            "fax_number": "866-621-5272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13874 Bently Cir",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339121987",
            "country_code": "US",
            "telephone_number": "973-868-6399 x97386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MASTERS & RAINES ADVANCED HEALING THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-744-7774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00636900",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.