Organization Active NPI

Praxis Rehab of NJ, Inc.

  • Chiropractor
  • Maple Shade, NJ
National Provider Identifier
1447779657
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00480100 Issued in NJ
Legal business name
PRAXIS REHAB OF NJ, INC.
Practice address
2941 Route 73 S Unit C
Maple Shade, NJ 08052-1725
Phone
(856) 486-4866
Fax
(856) 486-0952
NPI assigned
Sep 19, 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
Matthew Harrison, DC
Title
Director, Chriopractic Services
Phone
(856) 486-4866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 38MC00480100 NJ Primary

Addresses

Primary practice location

2941 Route 73 S Unit C
Maple Shade, NJ 08052-1725

Mailing address

2941 Route 73 S Unit C
Maple Shade, NJ 08052-1725
Phone (856) 486-4866

National Provider Directory

National Provider Directory

Locations

2941 Route 73 S
Ste C
Maple Shade, NJ 08052
Phone (856) 486-4866

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447779657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 ROUTE 73 S UNIT C",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080521725",
            "telephone_number": "856-486-4866",
            "fax_number": "856-486-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 ROUTE 73 S UNIT C",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080521725",
            "telephone_number": "856-486-4866",
            "fax_number": "856-486-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAXIS REHAB OF NJ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR, CHRIOPRACTIC SERVICES",
        "authorized_official_telephone_number": "856-486-4866",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00480100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Shade, 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.