Organization Active NPI

Maven Physical Therapy L.L.C.

  • Physical Therapist
  • Paramus, NJ
National Provider Identifier
1558412429
Registry record updated May 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MAVEN PHYSICAL THERAPY L.L.C.
Doing business as
Maven Center
Practice address
4 Forest Ave
Paramus, NJ 07652-5214
Phone
(201) 977-4441
Fax
(877) 977-4440
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2017

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

Authorized official

Name
Mrs. Christine Lee, BILLING MANAGER
Title
Billing Manager
Phone
(201) 977-4441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4 Forest Ave
Paramus, NJ 07652-5214

Mailing address

PO Box 125
Paramus, NJ 07653
Phone (201) 977-4441

Other names 1

  • Maven Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071011000352 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971699620 Receives reassigned benefits from 3 practitioners
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Locations

40 Eisenhower Dr
Ste 208
Paramus, NJ 07652
Phone (201) 977-4441

224 E Route 4
Lowr
Paramus, NJ 07652
Phone (201) 674-6194

4 Forest Ave
Ste 100
Paramus, NJ 07652

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495065600000",
    "number": "1558412429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07653",
            "telephone_number": "201-977-4441",
            "fax_number": "877-977-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525214",
            "telephone_number": "201-977-4441",
            "fax_number": "877-977-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVEN PHYSICAL THERAPY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2017-05-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "201-977-4441",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BILLING MANAGER"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maven Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maven Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.