Theracare Physical Therapy & Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THERACARE PHYSICAL THERAPY & WELLNESS LLC

Practice address

1089 Summit Ave Apt 8
Jersey City, NJ 07307-3466

Phone

(201) 564-8240

NPI assigned

Dec 18, 2020

Last updated

Dec 29, 2020By 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

Marcelo Castro, PT, DPTNPI 1942728753

Title

Physical Therapist

Phone

(201) 564-8240

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.

• Marcelo Castro, PT, DPT

  • Physical Therapist
  • Bethlehem, PA
  • NPI 1942728753

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1720674229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 SUMMIT AVE APT 8",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073466",
            "telephone_number": "201-564-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 SUMMIT AVE APT 8",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073466",
            "telephone_number": "201-564-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-564-8240",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Wellness Center at Hamilton Park
• The Whole Spectrum Autism Foundation
• The Whole Spectrum Care LLC
• Ther Center for Joint & Spine Relief
• Theracare
• Therapeutics USA LLC
• Therapro-Corf, LLC
• Monica Thi, OD
• Jenna Marie Thiemann
• Zachary Thier, DO, MBA

• Physical Therapy Clinic/Center in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.