Organization Active NPI

Holistic Manual Physical Therapy, PA

  • Physical Therapy Clinic/Center
  • Englewood, NJ
National Provider Identifier
1013249770
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HOLISTIC MANUAL PHYSICAL THERAPY, PA
Practice address
61 Grand Ave
Englewood, NJ 07631-3572
Phone
(201) 568-2044
Fax
(201) 568-7455
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Nachum Loss, PTNPI 1346306792
Title
President/Owner
Phone
(201) 568-2044

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

61 Grand Ave
Englewood, NJ 07631-3572

Mailing address

61 Grand Ave
Englewood, NJ 07631-3572
Phone (201) 568-2044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100713000623 NJ Part B Supplier - Clinic/Group Practice 9638201593 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, NJ

National Provider Directory

National Provider Directory

Locations

61 Grand Ave
Ste 51
Englewood, NJ 07631
Phone (201) 568-2044

61 Grand Ave
Ste 1
Englewood, NJ 07631
Phone (201) 541-8600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1013249770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313572",
            "telephone_number": "201-568-2044",
            "fax_number": "201-568-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313572",
            "telephone_number": "201-568-2044",
            "fax_number": "201-568-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MANUAL PHYSICAL THERAPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "LOSS",
        "authorized_official_first_name": "NACHUM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "201-568-2044",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.