Theraquatics LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

029438-1 Issued in NY

Legal business name

THERAQUATICS LLC

Practice address

1307 E 21St St
Brooklyn, NY 11210-4510

Phone

(718) 252-3035

NPI assigned

Dec 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tehila Beth Kahan, PT, DPT

Title

Physical Therapist

Phone

(718) 252-3035

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1457758658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 E 21ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104510",
            "telephone_number": "718-252-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E 21ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104510",
            "telephone_number": "718-252-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAQUATICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "KAHAN",
        "authorized_official_first_name": "TEHILA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-252-3035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "029438-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.