Organization Active NPI

Align Natural Physical Therapy LLC

  • Physical Therapist
  • Old Tappan, NJ
National Provider Identifier
1790021830
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032774 Issued in NY
Legal business name
ALIGN NATURAL PHYSICAL THERAPY LLC
Doing business as
Align Natural Physical Therapy LLC
Practice address
104 Old Tappan Rd
Old Tappan, NJ 07675-7434
Phone
(551) 804-0608
Fax
(201) 767-0768
NPI assigned
Dec 18, 2012
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Dr. Shevaun Kirschbaum, DPTNPI 1720359136
Title
Physical Therapist
Phone
(551) 804-0608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032774 NY Primary
Physical Therapist 225100000X 40QA01385800 NJ

Addresses

Primary practice location

104 Old Tappan Rd
Old Tappan, NJ 07675-7434

Mailing address

104 Old Tappan Rd
Old Tappan, NJ 07675-7434
Phone (551) 804-0608

Other names 1

  • Align Natural Physical Therapy LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191120001690 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1850723446 Receives reassigned benefits from 1 practitioner
Practice locations: Piermont, NY

National Provider Directory

National Provider Directory

Locations

105 Shad Row
Piermont, NY 10968
Phone (551) 804-0608

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1790021830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OLD TAPPAN RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757434",
            "telephone_number": "551-804-0608",
            "fax_number": "201-767-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 OLD TAPPAN RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757434",
            "telephone_number": "551-804-0608",
            "fax_number": "201-767-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN NATURAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "KIRSCHBAUM",
        "authorized_official_first_name": "SHEVAUN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "551-804-0608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032774",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01385800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Align Natural Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Old Tappan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.