Active NPI
Therapist at Home LLC
- Physical Therapist
- Mahwah, NJ
National Provider Identifier
1245932946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- THERAPIST AT HOME LLC
- Practice address
- 39 Black Oak LN
Mahwah, NJ 07430-1349 - Phone
- (201) 675-7523
- NPI assigned
- Mar 20, 2023
- 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
- Mr. Hemal Vyas
- Title
- Owner
- Phone
- (201) 675-7523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
39 Black Oak LN
Mahwah, NJ 07430-1349
Mailing address
39 Black Oak LN
Mahwah, NJ 07430-1349
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679270400000",
"number": "1245932946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 BLACK OAK LN",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074301349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 BLACK OAK LN",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074301349",
"telephone_number": "201-675-7523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPIST AT HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-18",
"status": "A",
"authorized_official_last_name": "VYAS",
"authorized_official_first_name": "HEMAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-675-7523",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mahwah, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.