NPIMap

Organization Active NPI

Paramus Physical Therapy and Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Paramus, NJ
National Provider Identifier
1124740238
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PARAMUS PHYSICAL THERAPY AND REHABILITATION LLC
Practice address
12 N State RT 17 Ste 118
Paramus, NJ 07652-2644
Phone
(516) 708-3182
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Dr. Shalin B Patel, DCNPI 1104249879
Title
Owner
Phone
(516) 708-3182

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
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

12 N State RT 17 Ste 118
Paramus, NJ 07652-2644

Mailing address

12 N State RT 17 Ste 118
Paramus, NJ 07652-2644
Phone (516) 708-3182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221201001052 NJ Part B Supplier - Clinic/Group Practice 3375911985 Receives reassigned benefits from 24 practitioners
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Locations

12 N State Rt 17
Ste 118
Paramus, NJ 07652
Phone (201) 535-4145

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1124740238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N STATE RT 17 STE 118",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522644",
            "telephone_number": "516-708-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N STATE RT 17 STE 118",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522644",
            "telephone_number": "516-708-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMUS PHYSICAL THERAPY AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHALIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-708-3182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.