Achieve Trucare Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA05979 Issued in NJ

Legal business name

ACHIEVE TRUCARE PHYSICAL THERAPY, LLC

Practice address

668 Wyckoff Ave
Wyckoff, NJ 07481-1430

Phone

(201) 891-0400

Fax

(201) 891-0499

NPI assigned

Jul 14, 2006

Last updated

Jun 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carla Difelice, MSPT

Title

Co-Owner

Phone

(201) 891-0400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1679599856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 WYCKOFF AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811430",
            "telephone_number": "201-891-0400",
            "fax_number": "201-891-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 WYCKOFF AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811430",
            "telephone_number": "201-891-0400",
            "fax_number": "201-891-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE TRUCARE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "DIFELICE",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "201-891-0400",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA05979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Physical Therapist in New Jersey

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