Active NPI
Fyzical Therapy & Balance Center
- Physical Therapist
- Clark, NJ
National Provider Identifier
1184150682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00667200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kalpana Iyer
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.