Individual provider Active NPI

Sheena M Threm, PT, DPT

  • Physical Therapist
  • Paramus, NJ
National Provider Identifier
1619457587
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01808500 Issued in NJ
Practice address
205 Robin Rd Ste 118
Paramus, NJ 07652-1424
Phone
(201) 225-1511
Fax
(201) 225-9731
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01808500 NJ Primary

Addresses

Primary practice location

205 Robin Rd Ste 118
Paramus, NJ 07652-1424

Mailing address

145 Maple Ave
Wallington, NJ 07057-1113
Phone (201) 336-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205000615 NJ Practitioner - Physical Therapist in Private Practice 6204170061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

522 S Broad St
Glen Rock, NJ 07452-1325
Phone (201) 444-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT LLC Physical Therapist CurrentSince Nov 8, 2021 Accepting new patients
Peak Medical Centers Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients

Locations

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

205 Robin Rd
Ste 118
Paramus, NJ 07652
Phone (201) 225-1511

82 Totowa Rd
Wayne, NJ 07470
Phone (201) 225-1511

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1619457587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MAPLE AVE",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571113",
            "telephone_number": "201-336-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ROBIN RD STE 118",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521424",
            "telephone_number": "201-225-1511",
            "fax_number": "201-225-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THREM",
        "first_name": "SHEENA",
        "middle_name": "M",
        "credential": "PT,  DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01808500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.