Organization Active NPI

Platinum Therapy LLC

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1306355185
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PLATINUM THERAPY LLC
Practice address
45 Kelm Woods Ave
Lakewood, NJ 08701-2982
Phone
(732) 664-3114
Fax
(732) 523-4667
NPI assigned
Sep 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Shlomo Y Shreibman
Title
Co-Owner
Phone
(732) 994-9300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

45 Kelm Woods Ave
Lakewood, NJ 08701-2982

Mailing address

45 Kelm Woods Ave
Lakewood, NJ 08701-2982
Phone (732) 664-3114

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306355185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 KELM WOODS AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012982",
            "telephone_number": "732-664-3114",
            "fax_number": "732-523-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 KELM WOODS AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012982",
            "telephone_number": "732-664-3114",
            "fax_number": "732-523-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHREIBMAN",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "732-994-9300"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.