Organization Active NPI

Taneja Physical Therapy Wellness PLLC

  • Physical Therapist
  • Bronxville, NY
National Provider Identifier
1306310636
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TANEJA PHYSICAL THERAPY WELLNESS PLLC
Practice address
72 Slocum Ave
Bronxville, NY 10708-6622
Phone
(914) 316-9028
NPI assigned
Jan 21, 2019
Last updated
Jan 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Vinay Taneja, PT, DPTNPI 1255766374
Title
Owner
Phone
(914) 316-9028

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

72 Slocum Ave
Bronxville, NY 10708-6622

Mailing address

72 Slocum Ave
Bronxville, NY 10708-6622
Phone (914) 316-9028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20190222000444 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496094237 Receives reassigned benefits from 6 practitioners
Practice locations: Bronxville, NY
O20230420001848 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496094237 Receives reassigned benefits from 1 practitioner
Practice locations: Stamford, CT
O20250722000983 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496094237 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1306310636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SLOCUM AVE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086622",
            "telephone_number": "914-316-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SLOCUM AVE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086622",
            "telephone_number": "914-316-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANEJA PHYSICAL THERAPY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "TANEJA",
        "authorized_official_first_name": "VINAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-316-9028",
        "authorized_official_credential": "PT, DPT"
    },
    "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 Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.