Transformative Physical Therapy & Wellness LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

TRANSFORMATIVE PHYSICAL THERAPY & WELLNESS LLC

Practice address

901 Avenue C
Bayonne, NJ 07002-3012

Phone

(212) 227-3233

Fax

(866) 549-5687

NPI assigned

Apr 24, 2020

Organization subpart

No

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

Authorized official

Name

Sunny Thakkar, PT

Title

Ceo

Phone

(212) 227-3233

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1801416359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RIVER DR S APT 203",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073103701",
            "telephone_number": "212-227-3233",
            "fax_number": "866-549-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023012",
            "telephone_number": "212-227-3233",
            "fax_number": "866-549-5687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Newark Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073022811",
            "country_code": "US",
            "telephone_number": "201-554-3755",
            "fax_number": "866-549-5687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSFORMATIVE PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-227-3233",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "40QA01588700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

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