Shylasri Thanigaivelu

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01643900 Issued in NJ

Practice address

21 S Spring Valley Rd
Paramus, NJ 07652-2624

Phone

(201) 712-9113

NPI assigned

Dec 22, 2019

Last updated

Dec 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1576972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576972800000",
    "number": "1851930812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87A TIERNEY DR",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091954",
            "telephone_number": "201-723-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S SPRING VALLEY RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522624",
            "telephone_number": "201-712-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANIGAIVELU",
        "first_name": "SHYLASRI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-22",
        "last_updated": "2019-12-22",
        "certification_date": "2019-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01643900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleonora Teplinsky, M.D.
• Carmen Teran, M.A. CF-SLP
• Nina Mae Teran, APN-C
• Michel Samir Terzibachi, M.D.
• Mikko Angelo Tesalona, MD
• The Arc of Bergen and Passaic Counties, Inc.
• The Eye Health Group of Paramus, LLC
• The Mind Set Integrated Therapy, Inc.
• The Pathway Integrative Medicine
• The Pharmacy at Bergen Medical LLC (Bergen Medical Pharmacy)

• Physical Therapist in Paramus, NJ
• Providers in Paramus, 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 Dec 22, 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.