Childrens Therapy Source

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00509400 Issued in NJ

Legal business name

CHILDRENS THERAPY SOURCE

Practice address

14 Worlds Fair Drive
Suite M
Somerset, NJ 08873

Phone

(732) 356-7154

Fax

(732) 356-5364

NPI assigned

Feb 1, 2010

Organization subpart

No

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

Authorized official

Name

Eileen Ryan Kurtz, PT

Title

Officer

Phone

(732) 356-7154

Specialties & licenses 1

Addresses

Other names 1

• Eileen Ryan Kurtz Former legal business name

Locations

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1508198698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WORLDS FAIR DRIVE",
            "address_2": "SUITE M",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-356-7154",
            "fax_number": "732-356-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WORLDS FAIR DRIVE",
            "address_2": "SUITE M",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-356-7154",
            "fax_number": "732-356-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS THERAPY SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "RYAN KURTZ",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "732-356-7154",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00509400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eileen Ryan Kurtz",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lubov Cherkassky, DPT
• Jackie R Chesson, SOLE PROPRIETOR
• Chest & Intensive Care Medicine, L.L.C.
• Chest & Intensive Care Medicine, LLC
• Brian Chiang, PHARMD
• Douglas J. Chin, L.AC.
• Philomena Ifeyinwa Chinemelu, APN
• Chinraj Somerset LLC
• Chinraj Somerset LLC
• Grace Cho, M.D.

• Physical Therapist in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.