TSL Sport Therapeutics LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TSL SPORT THERAPEUTICS LLC

Practice address

12 Highland Dr
Manalapan, NJ 07726-2708

Phone

(732) 858-1777

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Leonard R Disla Jr., DPTNPI 1962787085

Title

Owner

Phone

(732) 858-1777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Leonard R Disla, DPT

  • Orthopedic Physical Therapist
  • Eatontown, NJ
  • NPI 1962787085
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1861247066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HIGHLAND DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077262708",
            "telephone_number": "732-858-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HIGHLAND DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077262708",
            "telephone_number": "732-858-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSL SPORT THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "DISLA",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-858-1777",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Trendler, MSW
• Beatriz Trevino, D.D.S.
• Trinity Rehab Somerset PA
• Tristar Physical Therapy Solutions
• Igor Trogan, MD
• TT Services Inc
• Hilary J Turett, MS RD
• Ultimed Health Care PC
• Unicare Home Care Inc
• Union Hill Pediatrics

• Physical Therapist in Manalapan, NJ
• Providers in Manalapan, 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 Apr 22, 2024; 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.