Kyle O Flaherty PT PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

KYLE O FLAHERTY PT PC

Practice address

282 Martis PL
Mahwah, NJ 07430-1318

Phone

(212) 421-1969

Fax

(212) 223-0198

NPI assigned

Jan 18, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Marcus, DC

Title

Billing Manager

Phone

(212) 421-1969

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Kyle O'Flaherty, PT

  • Orthopedic Physical Therapist
  • Mahwah, NJ
  • NPI 1083171318
  NPD (past)

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579305600000",
    "number": "1609406677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 MARTIS PL",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301318",
            "telephone_number": "212-421-1969",
            "fax_number": "212-223-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 MARTIS PL",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301318",
            "telephone_number": "212-421-1969",
            "fax_number": "212-223-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE O FLAHERTY PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-18",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "212-421-1969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "043870",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "asm@asmpc.com",
            "affiliation": "N",
            "address_1": "282 Martis Pl",
            "city": "Mahwah",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074301318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arthur J. Kranz, M.D.
• Karla Ann Krause
• Barbara Jill Krug, NCC, LAC
• Steven Kumbartzky
• Nicole Elizabeth Kwilecki
• John Lagrimas
• Barbara J Lankelis
• Kanae Larkin, LMT
• Gloria Leder, LCSW, MSW
• Glenn R Leslie, D.O.

• Orthopedic Physical Therapist in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; 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.