Mehrbanoo Mehrrostami, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022651 Issued in NY

Practice address

451 Mine Brook Rd
Bernardsville, NJ 07924-2007

Phone

(201) 793-8988

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Miss Mehrbanoo Poulad-Noshiravan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Healing Physical Therapy

  • Physical Therapy Clinic/Center
  • Bernardsville, NJ
  • NPI 1174060891
  NPD (past) Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1609083211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 MINE BROOK RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242007",
            "telephone_number": "201-793-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 MINE BROOK RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242007",
            "telephone_number": "201-793-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRROSTAMI",
        "first_name": "MEHRBANOO",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022651",
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "NY",
            "license": "022651",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "022651",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "022651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEHRBANOO",
            "last_name": "POULAD-NOSHIRAVAN",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Kathleen McClain-Glynn, LCSW, LCADC
• Megan Mary McDowell, LPC
• Leah Anne McGuire, PH.D.
• Katie McMahon, LPC, LCADC
• Ian Patrick Mead, PHARMD
• Jyotsna Sudhir Mehta, M.D.
• Mental Health Services of New Jersey
• Midland Adult Services, Inc.
• Rimple K Mody, APN-C
• Caroline R Moshel, MD

• Physical Therapist in Bernardsville, NJ
• Providers in Bernardsville, 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 11, 2016; 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.