Krishnabahen Vijal Tailor, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02016500 Issued in NJ

Practice address

365 Ocean Blvd Unit 302
Long Branch, NJ 07740-6097

Phone

(732) 233-1107

NPI assigned

Jul 22, 2021

Last updated

Jul 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Varsha Pohuja LLCGroup PAC ID 8426346636, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Varsha Pohuja LLC

  dba Shivaya Rehabilitation

  • Rehabilitation Clinic/Center
  • Long Branch, NJ
  • NPI 1295281699

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246
  NPD
• New Way Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Kent, WA
  • NPI 1053059915

  Physical Therapist

  NPD

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1598338048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 OCEAN BLVD UNIT 302",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406097",
            "telephone_number": "732-233-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 OCEAN BLVD UNIT 302",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406097",
            "telephone_number": "732-233-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAILOR",
        "first_name": "KRISHNABAHEN",
        "middle_name": "VIJAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02016500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amarpreet A Suri, DDS
• Susan Mohr MSW LCSW CHC LLC
• Myles Julian Swartz, PHARMD
• Wade Wilkins Swink III, LCSW
• Carmina C Symonowicz, RN, MA, APRN, BC
• Leizle Talangbayan, M.D.
• Dave Nicole Lorenzo Tanuecoz, MD
• Prasanna Tati
• Jonathan E Teitelbaum, M.D.
• Fnu Tejal, MD

• Physical Therapist in Long Branch, NJ
• Providers in Long Branch, 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 Jul 22, 2021; 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.