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
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2019.

{
    "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.