Fair Lawn Spine & PT Care LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FAIR LAWN SPINE & PT CARE LLC

Practice address

19-21 Fair Lawn Ave
Fair Lawn, NJ 07410

Phone

(201) 794-6868

Fax

(201) 794-6003

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

William F Thimmel, DCNPI 1215986294

Title

Clinic Director

Phone

(201) 794-6868

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William F Thimmel, DC

  • Chiropractor
  • Saddle Brook, NJ
  • NPI 1215986294
  NPD (past) Authorized official
• Alfred F Mousa, DPT

  • Physical Therapist
  • Sarasota, FL
  • NPI 1922249697
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790735959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19-21 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-794-6868",
            "fax_number": "201-794-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-21 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-794-6868",
            "fax_number": "201-794-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR LAWN SPINE & PT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THIMMEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "201-794-6868",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fair Lawn Physical Therapy and Sports Medicine LLC
• Fair Lawn Pulmonary Rehabilitation LLC
• Fair Lawn Schools
• Fair Lawn Spine & Injury Center, LLC
• Fair Lawn Spine & Joint Rehabilitation Center LLC
• Fair Lawn Womens Health
• Fairlawn Behavioral Associates
• Fairlawn Behavioral Associates LLC
• Fairlawn Pharmacy Limited Liability Company
• Family Dentists, P.a.

• Physical Medicine & Rehabilitation Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.