John Bernard Talty, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01251900 Issued in NJ

Practice address

19 Raymond Ave
Rutherford, NJ 07070-1131

Phone

(201) 240-0313

Fax

(201) 355-2309

NPI assigned

Oct 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Rutherford Physical TherapyGroup PAC ID 4789823683, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rutherford Physical Therapy

  • Physical Therapy Clinic/Center
  • Rutherford, NJ
  • NPI 1639516297
  Medicare reassignment Care Compare group NPD Authorized official
• Excelcare Medical Associates, PA

  • Internal Medicine Physician
  • Teaneck, NJ
  • NPI 1992736300
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1568614196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 RAYMOND AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701131",
            "telephone_number": "201-240-0313",
            "fax_number": "201-355-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 RAYMOND AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701131",
            "telephone_number": "201-240-0313",
            "fax_number": "201-355-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALTY",
        "first_name": "JOHN",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01251900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supreme Home Health Services
• Rebecca Ann Sutton, ATC
• Synced LLC
• Tailor Associates LLC
• Amit Tailor, MD
• Joann Tarakjian
• Ellery Tarife, NP
• The Arc of Bergen and Passaic Counties, Inc
• The Mindful Path to Psychological Care, LLC
• Andrew The, MD

• Physical Therapist in Rutherford, NJ
• Providers in Rutherford, 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 May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.