Mens Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MENS PHYSICAL THERAPY LLC

Practice address

255 W Spring Valley Ave
109
Maywood, NJ 07607-1445

Phone

(201) 290-1590

Fax

(212) 731-0267

NPI assigned

May 27, 2015

Last updated

Jun 1, 2015By 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

Khaled Nasr, PT

Title

Owner

Phone

(201) 290-1590

Specialties & licenses 1

Addresses

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.

• Motaz Ebeido

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356734842
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1972982643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W SPRING VALLEY AVE",
            "address_2": "109",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071445",
            "telephone_number": "201-290-1590",
            "fax_number": "212-731-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W SPRING VALLEY AVE",
            "address_2": "109",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071445",
            "telephone_number": "201-290-1590",
            "fax_number": "212-731-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "NASR",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-290-1590",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maywood Physical Therapy LLC
• Maywood RX Inc (maywood pharmacy)
• Maywood SNF Operations LLC
• Christian Paul McDonough, MD
• Helen Marie Meehan, NP-C
• Jennifer Kathryn Millard, LCSW
• David S Miller, PA
• Danielle Lenore Mitchell
• Ashley Elizabeth Morolla, LPC
• Mounir Mady DMD PA

• Physical Therapist in Maywood, NJ
• Providers in Maywood, 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 Jun 1, 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.