Individual provider Active NPI

Adira Zuber

  • Physical Therapist
  • South Orange, NJ
National Provider Identifier
1659814465
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041075 Issued in NY
Practice address
153 Valley St
Apt M-F
South Orange, NJ 07079-2839
Phone
(310) 804-0309
NPI assigned
Nov 28, 2016
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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 041075 NY Primary

Addresses

Primary practice location

153 Valley St
Apt M-F
South Orange, NJ 07079-2839

Mailing address

153 Valley St
Apt M-F
South Orange, NJ 07079-2839
Phone (310) 804-0309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031003514 CA Practitioner - Physical Therapist in Private Practice 0547638793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bewell Home Physical Therapy P CGroup PAC ID 9335460351, 10 clinicians

Practice addresses (Care Compare)

1582 W San Marcos Blvd
Suite 105B
San Marcos, CA 92078-4081
Phone (650) 452-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041075NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bewell Home Physical Therapy P C CurrentSince Sep 19, 2023 Accepting new patients

Locations

1582 W San Marcos Blvd
Ste 105B
San Marcos, CA 92078
Phone (650) 452-4110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1659814465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 VALLEY ST",
            "address_2": "APT M-F",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792839",
            "telephone_number": "310-804-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 VALLEY ST",
            "address_2": "APT M-F",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792839",
            "telephone_number": "310-804-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBER",
        "first_name": "ADIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.