Frank Failla Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FRANK FAILLA PHYSICAL THERAPY, LLC

Practice address

623 Lafayette Ave
Hawthorne, NJ 07506-2439

Phone

(917) 684-9789

Fax

(877) 642-1441

NPI assigned

Jun 18, 2013

Last updated

Oct 2, 2014By 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

Mr. Frank Failla, DPTNPI 1366635633

Title

Owner/DPT

Phone

(917) 684-9789

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frank M Failla, DPT

  • Physical Therapist
  • Montclair, NJ
  • NPI 1366635633
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1679912257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 THE CRESCENT",
            "address_2": "UNIT 5",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422664",
            "telephone_number": "917-684-9789",
            "fax_number": "877-642-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062439",
            "telephone_number": "917-684-9789",
            "fax_number": "877-642-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK FAILLA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "FAILLA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER/DPT",
        "authorized_official_telephone_number": "917-684-9789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01254100",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Practice Medical Associates
• Ellen Jo Fasanaro, NP
• Alyson Denise Flaker, R.D.N.
• Fontanarosa Chiropractic Inc
• Domenic Fontanarosa, D.C.
• Deborah Garcia
• Juan Alberto Garcia, PHD
• Michael Giglio, MD
• Surendra P Goel, M.D.
• Vijay Goel, M.D.

• Physical Therapist in Hawthorne, NJ
• Providers in Hawthorne, 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 Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.