Organization Active NPI

Bella Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Fair Lawn, NJ
National Provider Identifier
1942411517
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BELLA PHYSICAL THERAPY, PC
Practice address
39-40 Broadway
Fair Lawn, NJ 07410-5419
Phone
(201) 791-7177
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Bella Kavalerchik, PTNPI 1972546190
Title
Owner
Phone
(201) 791-7177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

39-40 Broadway
Fair Lawn, NJ 07410-5419

Mailing address

1 Grover Ter
Fair Lawn, NJ 07410-4506
Phone (201) 791-7177

National Provider Directory

National Provider Directory
Tax ID family
Bella Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

39-40 Broadway
Fair Lawn, NJ 07410
Phone (201) 475-5006

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942411517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GROVER TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104506",
            "telephone_number": "201-791-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39-40 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105419",
            "telephone_number": "201-791-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAVALERCHIK",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-791-7177",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.