Healthcare Provider Details

I. General information

NPI: 1578852257
Provider Name (Legal Business Name): VISITING THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2011
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 US HIGHWAY 46 STE H111
FAIRFIELD NJ
07004-2490
US

IV. Provider business mailing address

271 US HIGHWAY 46 STE H111
FAIRFIELD NJ
07004-2490
US

V. Phone/Fax

Practice location:
  • Phone: 877-887-3574
  • Fax:
Mailing address:
  • Phone: 877-887-3574
  • Fax: 862-279-7580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KIRBY MASIP
Title or Position: OWNER
Credential:
Phone: 973-704-5758