NPIMap

Organization Active NPI

Functionalmax Customized Physical Therapy

Doing business as healsonwheels

  • Physical Therapy Clinic/Center
  • Rochelle Park, NJ
National Provider Identifier
1790338036
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FUNCTIONALMAX CUSTOMIZED PHYSICAL THERAPY
Doing business as
healsonwheels
Practice address
241 W Passaic St Apt 10B
Rochelle Park, NJ 07662-3116
Phone
(646) 388-4790
Fax
(609) 435-1234
NPI assigned
Jul 16, 2019
Last updated
Jul 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Dr. Manuel A Arruffat, PT DPT
Title
Physical Therapist
Phone
(201) 293-0753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

241 W Passaic St Apt 10B
Rochelle Park, NJ 07662-3116

Mailing address

241 W Passaic St Apt 10B
Rochelle Park, NJ 07662-3116
Phone (646) 388-4790

Other names 1

  • healsonwheels Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1790338036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W PASSAIC ST APT 10B",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623116",
            "telephone_number": "646-388-4790",
            "fax_number": "609-435-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W PASSAIC ST APT 10B",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623116",
            "telephone_number": "646-388-4790",
            "fax_number": "609-435-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONALMAX CUSTOMIZED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "ARRUFFAT",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-293-0753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "healsonwheels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.