Organization Active NPI

Fyzical Therapy & Balance Center

  • Physical Therapist
  • Clark, NJ
National Provider Identifier
1184150682
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00667200 Issued in NJ
Legal business name
FYZICAL THERAPY & BALANCE CENTER
Practice address
132-1 Westfield Ave
Clark, NJ 07066
Phone
(732) 382-7288
Fax
(732) 382-7228
NPI assigned
May 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Ms. Kalpana IyerNPI 1659388023
Title
Member
Phone
(732) 382-7288

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA00667200 NJ Primary

Addresses

Primary practice location

132-1 Westfield Ave
Clark, NJ 07066

Mailing address

138 Westfield Ave
Clark, NJ 07066-2454
Phone (732) 382-7288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170801000463 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486925013 Receives reassigned benefits from 1 practitioner
Practice locations: Clark, NJ

National Provider Directory

National Provider Directory

Locations

132 Westfield Ave
Ste 1
Clark, NJ 07066
Phone (732) 382-7288

138 Westfield Ave
Clark, NJ 07066

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1184150682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662454",
            "telephone_number": "732-382-7288",
            "fax_number": "732-382-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132-1 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "07066",
            "telephone_number": "732-382-7288",
            "fax_number": "732-382-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYZICAL THERAPY & BALANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "KALPANA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-382-7288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00667200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.