Organization Active NPI

Therapy Care P.a.

  • Physical Therapy Clinic/Center
  • Teaneck, NJ
National Provider Identifier
1962738609
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT40QA01074500 Issued in NJ
Legal business name
THERAPY CARE P.A.
Practice address
301 Cherry LN
Teaneck, NJ 07666-3413
Phone
(201) 674-0737
NPI assigned
Nov 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Mr. Dave Consunji Marcon, P.T.NPI 1932301843
Title
President
Phone
(201) 674-0737

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 40QA01074500 NJ
Physical Therapy Clinic/Center 261QP2000X PT40QA01074500 NJ Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 40QA01074500 NJ

Addresses

Primary practice location

301 Cherry LN
Teaneck, NJ 07666-3413

Mailing address

301 Cherry LN
Teaneck, NJ 07666-3413

National Provider Directory

National Provider Directory
Tax ID family
Therapy Care PA2 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.

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": "1257033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1962738609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CHERRY LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CHERRY LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663413",
            "telephone_number": "201-674-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY CARE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-01",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "MARCON",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "CONSUNJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-674-0737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "40QA01074500",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "PT40QA01074500",
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NJ",
            "license": "40QA01074500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.