A Step Ahead Therapy Services Limited Liability Company

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QA00097700 Issued in NJ

Legal business name

A STEP AHEAD THERAPY SERVICES LIMITED LIABILITY COMPANY

Practice address

1166 River Ave
Lakewood, NJ 08701-5600

Phone

(732) 370-0070

NPI assigned

Jun 17, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Mary E Buckley, PT

Title

Physical Therapist

Phone

(732) 267-0852

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1669633285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 AZALEA DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242732",
            "telephone_number": "732-899-0779",
            "fax_number": "732-903-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015600",
            "telephone_number": "732-370-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A STEP AHEAD THERAPY SERVICES LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICAL  THERAPIST",
        "authorized_official_telephone_number": "732-267-0852",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00097700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lakewood, NJ
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.