Therapeutic Fitness of Teaneck LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00129200 Issued in NJ

Legal business name

THERAPEUTIC FITNESS OF TEANECK LLC

Practice address

1415 Queen Anne Rd
204
Teaneck, NJ 07666-3521

Phone

(718) 753-7655

Fax

(201) 357-4395

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Betty Hannah Kay, 0.T.R./L, WITSNPI 1669657722

Title

Occupational Therapist

Phone

(718) 753-7655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Betty H Kay, OTR/L

  • Occupational Therapist
  • Teaneck, NJ
  • NPI 1669657722
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1982870374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 WARWICK AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662928",
            "telephone_number": "718-753-7655",
            "fax_number": "201-357-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 QUEEN ANNE RD",
            "address_2": "204",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663521",
            "telephone_number": "718-753-7655",
            "fax_number": "201-357-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC FITNESS OF TEANECK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "HANNAH",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "718-753-7655",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "0.T.R./L, WITS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00129200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.