NPIMap

Organization Active NPI

Theraex Physical Therapy PC

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1225434103
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAEX PHYSICAL THERAPY PC
Practice address
799 Morris Park Ave
Bronx, NY 10462-3604
Phone
(718) 684-6300
Fax
(718) 684-6301
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Dr. Richard Holsman, DPT
Title
Ceo
Phone
(973) 393-5545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

799 Morris Park Ave
Bronx, NY 10462-3604

Mailing address

710 Mill St
Unit H3
Belleville, NJ 07109-5318
Phone (973) 759-1494

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1225434103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILL ST",
            "address_2": "UNIT H3",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095318",
            "telephone_number": "973-759-1494",
            "fax_number": "973-759-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623604",
            "telephone_number": "718-684-6300",
            "fax_number": "718-684-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAEX PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "HOLSMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-393-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.