Theracare

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

56062 Issued in NY

Legal business name

THERACARE

Practice address

171 Randolph Ave
171 Randolph Ave
Jersey City, NJ 07305-4416

Phone

(347) 856-2646

NPI assigned

Jun 12, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Carlota Powell Vasquez II, SPECIAL ED. TEACHER

Title

Special Ed. Teacher

Phone

(347) 856-2646

Specialties & licenses 1

Addresses

Other names 1

• Therecare Former legal business name

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1447512934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 RANDOLPH AVE",
            "address_2": "171 RANDOLPH AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054416",
            "telephone_number": "347-856-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RANDOLPH AVE",
            "address_2": "171 RANDOLPH AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054416",
            "telephone_number": "347-856-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "CARLOTA",
        "authorized_official_middle_name": "POWELL",
        "authorized_official_title_or_position": "SPECIAL ED. TEACHER",
        "authorized_official_telephone_number": "347-856-2646",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "SPECIAL ED. TEACHER"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "56062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therecare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• The Tooth Dr Limited Liability Company
• The Wellness Center at Hamilton Park
• The Whole Spectrum Autism Foundation
• The Whole Spectrum Care LLC
• Ther Center for Joint & Spine Relief
• Theracare Physical Therapy & Wellness LLC
• Therapeutics USA LLC
• Therapro-Corf, LLC
• Monica Thi, OD
• Jenna Marie Thiemann

• Early Intervention Provider Agency in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Early Intervention Provider Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.