Thera Era LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THERA ERA LLC

Practice address

936 Lakeview Dr
Lakewood, NJ 08701-3020

Phone

(347) 374-1979

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Moshe Feinstein

Title

Co-Owner

Phone

(347) 374-1979

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1194239111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 LAKEVIEW DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013020",
            "telephone_number": "347-374-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 LAKEVIEW DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013020",
            "telephone_number": "347-374-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA ERA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "FEINSTEIN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "347-374-1979"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.