Physical Therapy Home Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01488900 Issued in NJ

Legal business name

PHYSICAL THERAPY HOME SERVICES LLC

Practice address

714 Broadway Ste 2
Paterson, NJ 07514-3403

Phone

(347) 784-1617

NPI assigned

Mar 18, 2015

Organization subpart

No

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

Authorized official

Name

Alex Mendoza

Title

Manager

Phone

(347) 784-1617

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1619360419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 BROADWAY STE 2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075143403",
            "telephone_number": "347-784-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 BROADWAY STE 2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075143403",
            "telephone_number": "347-784-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-784-1617"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01488900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philips Academy Charter School of Paterson
• Phoenix Physicians LLC
• Phylco, LTD
• Physical Medicine of New Jersey
• Physical Medicine of New Jersey LLC
• Physical Therapy Institute of Paterson
• Chrismaily Sheribel Pichardo
• Norma Pichardo, APN
• Isabella Pico, LSW
• Eugene P Pierinelli, PH.

• Physical Therapy Clinic/Center in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.