Active NPI
Holmdel Physical Therapy and Sports Medicine LLC
- Physical Therapist
- Holmdel, NJ
National Provider Identifier
1003361494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01497200
- Legal business name
- HOLMDEL PHYSICAL THERAPY AND SPORTS MEDICINE LLC
- Practice address
- 719 N Beers St
Suite 2a
Holmdel, NJ 07733-1522 - Phone
- (646) 996-1009
- NPI assigned
- Aug 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Holtzer, PT
- Title
- Owner
- Phone
- (646) 996-1009
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01497200 | NY | Primary |
Addresses
Primary practice location
719 N Beers St
Suite 2a
Holmdel, NJ 07733-1522
Mailing address
719 N Beers St
Suite 2a
Holmdel, NJ 07733-1522
Phone (646) 996-1009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Holmdel, NJ
- NPI 1497194963
-
- Physical Therapist
- Highland Park, NJ
- NPI 1972250371
-
- Occupational Therapist
- Holmdel, NJ
- NPI 1215765987
-
- Occupational Therapist
- Matawan, NJ
- NPI 1558085118
-
- Physical Therapist
- Holmdel, NJ
- NPI 1477120483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471305600000",
"number": "1003361494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 N BEERS ST",
"address_2": "SUITE 2A",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331522",
"telephone_number": "646-996-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 N BEERS ST",
"address_2": "SUITE 2A",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331522",
"telephone_number": "646-996-1009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLMDEL PHYSICAL THERAPY AND SPORTS MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-16",
"last_updated": "2016-08-16",
"status": "A",
"authorized_official_last_name": "HOLTZER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-996-1009",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "40QA01497200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmdel, NJ
- Holmdel Obstetrics & Gynecology Associates, PA
- Holmdel Ophthalmology LLC
- Holmdel Orthodontics LLC
- Holmdel Pediatrics, LLC
- Holmdel Pharmacy & Deli LLC (Holmdel Pharmacy Care)
- Holmdel Pulmonary Medicine, LLC
- Holmdel Sports and Spine
- Holmdel Township Public Schools
- Elisabeth Holtzer, RD
- Matthew Holtzer, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.