Organization Active NPI

Bear Physical Therapy & Wellness Inc

  • Physical Therapist
  • Bear, DE
National Provider Identifier
1689258741
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BEAR PHYSICAL THERAPY & WELLNESS INC
Practice address
1859 Pulaski Hwy
Bear, DE 19701-1731
Phone
(302) 220-1336
NPI assigned
May 5, 2021
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Mahendra Borad
Title
President
Phone
(201) 744-3276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1859 Pulaski Hwy
Bear, DE 19701-1731

Mailing address

30 Crimson King Dr
Bear, DE 19701-2387
Phone (201) 744-3276

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210706000047 DE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183026784 Receives reassigned benefits from 3 practitioners
Practice locations: Bear, DE

National Provider Directory

National Provider Directory

Locations

1859 Pulaski Hwy
Bear, DE 19701
Phone (201) 744-3276

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1689258741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CRIMSON KING DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012387",
            "telephone_number": "201-744-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 PULASKI HWY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011731",
            "telephone_number": "302-220-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR PHYSICAL THERAPY & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "BORAD",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-744-3276"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.