Achieve Sports Medicine & Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACHIEVE SPORTS MEDICINE & REHAB, LLC

Practice address

168 Franklin Turnpike
Suite 103B
Waldwick, NJ 07463

Phone

(201) 493-7440

Fax

(201) 493-7445

NPI assigned

May 13, 2006

Last updated

Dec 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carla DifeliceNPI 1619906849

Title

Co-Owner

Phone

(201) 493-7440

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carla M Difelice, MSPT

  • Physical Therapist
  • Waldwick, NJ
  • NPI 1619906849
  Authorized official Same address or phone

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1912958083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 EISENHOWER COURT",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "07481",
            "telephone_number": "201-847-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 FRANKLIN TURNPIKE",
            "address_2": "SUITE 103B",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "07463",
            "telephone_number": "201-493-7440",
            "fax_number": "201-493-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE SPORTS MEDICINE & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "DIFELICE",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "201-493-7440"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Waldwick, NJ
• Providers in Waldwick, 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 10, 2013; 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.