Organization Active NPI

Well Health Rehabilitation LLC

  • Physical Therapist
  • Clark, NJ
National Provider Identifier
1730244336
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00667200 Issued in NJ
Legal business name
WELL HEALTH REHABILITATION LLC
Practice address
15 Brant Ave
Suite 1
Clark, NJ 07066-1564
Phone
(732) 382-7288
Fax
(732) 382-7228
NPI assigned
Dec 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Ms. Kalpana Iyer, PT
Title
Owner
Phone
(732) 382-7288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 40QA00667200 NJ Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 012060-1 NY

Addresses

Primary practice location

15 Brant Ave
Suite 1
Clark, NJ 07066-1564

Mailing address

15 Brant Ave
Suite 1
Clark, NJ 07066-1564
Phone (732) 382-7288

National Provider Directory

National Provider Directory

Locations

15 Brant Ave
Ste 1
Clark, NJ 07066
Phone (732) 382-7288

NPI Registry JSON

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1730244336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRANT AVE",
            "address_2": "SUITE 1",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661564",
            "telephone_number": "732-382-7288",
            "fax_number": "732-382-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRANT AVE",
            "address_2": "SUITE 1",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661564",
            "telephone_number": "732-382-7288",
            "fax_number": "732-382-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL HEALTH REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-25",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "KALPANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-382-7288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00667200",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012060-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.