Individual provider Active NPI

Layla Darian

  • Physical Therapist
  • Lebanon, NJ
National Provider Identifier
1801677968
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02211300 Issued in NJ
Practice address
1250 State Route 31
Lebanon, NJ 08833-3238
Phone
(908) 730-6640
NPI assigned
Oct 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02211300 NJ Primary

Addresses

Primary practice location

1250 State Route 31
Lebanon, NJ 08833-3238

Mailing address

1250 State Route 31
Lebanon, NJ 08833-3238

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206000641 NJ Practitioner - Physical Therapist in Private Practice 4688023443 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Activity Rehabilitation Associates, LLC Physical Therapist CurrentSince Oct 15, 2023 Accepting new patients
Proactivity Fitness Physical Therapy Associates Physical Therapist CurrentSince Nov 2, 2023 Accepting new patients

Locations

1250 State Route 31
Lebanon, NJ 08833
Phone (833) 766-2281

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1801677968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 STATE ROUTE 31",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088333238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 STATE ROUTE 31",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088333238",
            "telephone_number": "908-730-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARIAN",
        "first_name": "LAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02211300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.