Therapy Interventions and Resource Agency, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00694800 Issued in NJ

Legal business name

THERAPY INTERVENTIONS AND RESOURCE AGENCY, LLC

Practice address

1777 Hamburg Tpke
Suite 105
Wayne, NJ 07470-5211

Phone

(862) 248-0840

Fax

(862) 248-0841

NPI assigned

Feb 23, 2012

Organization subpart

No

Name

Andrei Montemayor Manalang, PT

Title

Owner/Sole Member

Phone

(201) 266-4695

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2012.

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1295008183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE",
            "address_2": "SUITE 105",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705211",
            "telephone_number": "862-248-0840",
            "fax_number": "862-248-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE",
            "address_2": "SUITE 105",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705211",
            "telephone_number": "862-248-0840",
            "fax_number": "862-248-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY INTERVENTIONS AND RESOURCE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "MANALANG",
        "authorized_official_first_name": "ANDREI",
        "authorized_official_middle_name": "MONTEMAYOR",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "201-266-4695",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00694800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wayne, NJ
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.