Faith Therapy Consulting, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

46TR00337600 Issued in NJ

Legal business name

FAITH THERAPY CONSULTING, LLC

Practice address

20 Jefferson St
Clifton, NJ 07014-1514

Phone

(973) 223-6661

NPI assigned

Jan 2, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raina KoterbaNPI 1285000323

Title

Occupational Therapist

Phone

(973) 223-6661

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Raina Michelle Koterba

  • Pediatric Occupational Therapist
  • Little Falls, NJ
  • NPI 1285000323
  NPD (past) Authorized official
• Vannak Rourm

  • Behavior Technician
  • Little Falls, NJ
  • NPI 1497533483
  NPD (past)

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1487161295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 JEFFERSON ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 JEFFERSON ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141514",
            "telephone_number": "973-223-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 E Main St",
            "address_purpose": "LOCATION",
            "city": "Little Falls",
            "state": "NJ",
            "postal_code": "074241711",
            "country_code": "US",
            "telephone_number": "973-223-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAITH THERAPY CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KOTERBA",
        "authorized_official_first_name": "RAINA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "973-223-6661"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "46TR00337600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Louise Ewing, RD
• Evelyn Fabian
• Rania Abdalla Daw Elbeit Fadlalla, MD
• Mitchell Howard Faer, DC
• Marian Fahmy-Hawash, APN
• Family Choice Physical Therapy PA
• Family Choice Rehab Specialists
• Family Health First P.a.
• Family Medical Care of Clifton, LLC
• Devon Anne Fanelli, PT, DPT

• Pediatrics Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.