Individual provider Active NPI

Payal Rana

  • Physical Therapist
  • Passaic, NJ
National Provider Identifier
1699300301
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04572101 Issued in NY
Practice address
89 Gregory Ave Apt 12
Passaic, NJ 07055-4830
Phone
(862) 295-6491
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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 04572101 NY Primary

Addresses

Primary practice location

89 Gregory Ave Apt 12
Passaic, NJ 07055-4830

Mailing address

89 Gregory Ave Apt 12
Passaic, NJ 07055-4830
Phone (862) 295-6491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04572101NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraphysical, LLC Physical Therapist CurrentSince Nov 28, 2022 Accepting new patients
Theraphysical, LLC CurrentSince Nov 28, 2022 Accepting new patients

Locations

623 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 340-4656

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1699300301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 GREGORY AVE APT 12",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554830",
            "telephone_number": "862-295-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 GREGORY AVE APT 12",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554830",
            "telephone_number": "862-295-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANA",
        "first_name": "PAYAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "04572101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.