Active NPI
Wienerphysicaltherapyservices
- Physical Therapist
- Hawthorne, NJ
National Provider Identifier
1275060774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA03741
- Legal business name
- WIENERPHYSICALTHERAPYSERVICES
- Doing business as
- wienerphysicaltherapyservices
- Practice address
- 484 Lafayette Ave
Hawthorne, NJ 07506-2522 - Phone
- (201) 880-0952
- Fax
- (201) 880-4893
- NPI assigned
- May 15, 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
- Dr. Paul Neil Wiener, PT, DPT
- Title
- Owner, Physical Therapist
- Phone
- (201) 937-8336
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 | 40QA03741 | NJ | Primary |
Addresses
Primary practice location
484 Lafayette Ave
Hawthorne, NJ 07506-2522
Mailing address
170 Prospect Ave Apt 5L
Hackensack, NJ 07601-1858
Phone (201) 880-0952
Other names 1
- wienerphysicaltherapyservices
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Hackensack, NJ
- NPI 1689750069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494806400000",
"number": "1275060774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 PROSPECT AVE APT 5L",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011858",
"telephone_number": "201-880-0952",
"fax_number": "201-880-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 LAFAYETTE AVE",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075062522",
"telephone_number": "201-880-0952",
"fax_number": "201-880-4893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIENERPHYSICALTHERAPYSERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-15",
"last_updated": "2017-05-15",
"status": "A",
"authorized_official_last_name": "WIENER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "NEIL",
"authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
"authorized_official_telephone_number": "201-937-8336",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA03741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "wienerphysicaltherapyservices",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hawthorne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.