Healthcare Provider Details

I. General information

NPI: 1689320277
Provider Name (Legal Business Name): THERAPRIME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 FOREST AVE STE 210
PARAMUS NJ
07652-5245
US

IV. Provider business mailing address

6 FOREST AVE STE 210
PARAMUS NJ
07652-5245
US

V. Phone/Fax

Practice location:
  • Phone: 610-844-6631
  • Fax: 973-330-8847
Mailing address:
  • Phone: 610-844-6631
  • Fax: 973-330-8847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH MOUSSA
Title or Position: CEO
Credential: DPT, CSCS
Phone: 610-844-6631