Individual provider Active NPI

Tak Y Lai, PHYSICAL THERAPIST

  • Physical Therapist
  • Ridgewood, NJ
National Provider Identifier
1861548018
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00644100 Issued in NJ
Practice address
432 Jackson Ter
Ridgewood, NJ 07450-1427
Phone
(201) 612-0987
Fax
(201) 612-1221
NPI assigned
Jan 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA00644100 NJ Primary

Addresses

Primary practice location

432 Jackson Ter
Ridgewood, NJ 07450-1427

Mailing address

432 Jackson Ter
Ridgewood, NJ 07450-1427
Phone (201) 612-0987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Lily Therapy Office & Associates CurrentSince May 25, 2021 Accepting new patients
Mahwah Health Services Physical Therapist PastSince Nov 27, 2022 Accepting new patients

Locations

14611 Carmenita Rd
Norwalk, CA 90650
Phone (562) 600-0138

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861548018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 JACKSON TER",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501427",
            "telephone_number": "201-612-0987",
            "fax_number": "201-612-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 JACKSON TER",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501427",
            "telephone_number": "201-612-0987",
            "fax_number": "201-612-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "TAK",
        "middle_name": "Y",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00644100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.