Theraflex Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THERAFLEX PHYSICAL THERAPY LLC

Practice address

749 Marin Ave # 1
Lyndhurst, NJ 07071-2521

Phone

(201) 916-1681

NPI assigned

Feb 18, 2025

Organization subpart

No

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

Authorized official

Name

Nathanael Park, P.T.A.NPI 1427813617

Title

Owner, Authorized Official, Provide

Phone

(201) 916-1681

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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

• Sophia Cha

  • Physical Therapist
  • Brookline, MA
  • NPI 1700500055

  NJ

  Medicare reassignment Care Compare group NPD
• Nathanael Park, PTA

  • Physical Therapy Assistant
  • Lyndhurst, NJ
  • NPI 1427813617
  NPD Authorized official
• Lisa Suhyun Ryoo, OTR/L

  • Occupational Therapist
  • Wyckoff, NJ
  • NPI 1912593138
  Care Compare group

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1851196208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 MARIN AVE # 1",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712521",
            "telephone_number": "201-916-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 MARIN AVE # 1",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712521",
            "telephone_number": "201-916-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAFLEX PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "NATHANAEL",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL, PROVIDE",
        "authorized_official_telephone_number": "201-916-1681",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.