Active NPI
David Kutteroff, PT, DPT, CSCS
- Physical Therapist
- Wrightstown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01792200
- Practice address
- 25 Wrightstown Cookstown Rd
Wrightstown, NJ 08562-2341 - Phone
- (609) 901-3005
- Fax
- (609) 723-4250
- NPI assigned
- Jun 29, 2018
- Last updated
- Jul 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01792200 | NJ | Primary |
| Physical Therapist | 225100000X | DAPT005134 | PA | |
| Physical Therapist | 225100000X | PT029613 | PA |
Addresses
Primary practice location
25 Wrightstown Cookstown Rd
Wrightstown, NJ 08562-2341
Mailing address
625 Waitkus Aly
Phoenixville, PA 19460-4341
Phone (609) 458-5558
Other practice location 1
740 Marne Hwy Ste 203
Moorestown, NJ 08057-3127
Phone (856) 914-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DAPT005134 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics (SPT), Inc. | Physical Therapist | Current | Accepting new patients |
| Rehabclinics SPT, Inc. | Current | Accepting new patients | |
| Rehabclinics SPT, Inc. | Current | Accepting new patients |
Locations
4275 County Line Rd
Ste 26
Chalfont, PA 18914
Phone (267) 952-8120
604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Conshohocken, PA
- NPI 1255330148
Physical Therapist
-
- Physical Therapy Clinic/Center
- Fairless Hills, PA
- NPI 1922745090
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1013402221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 WAITKUS ALY",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604341",
"telephone_number": "609-458-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WRIGHTSTOWN COOKSTOWN RD",
"city": "WRIGHTSTOWN",
"state": "NJ",
"postal_code": "085622341",
"telephone_number": "609-901-3005",
"fax_number": "609-723-4250"
}
],
"practiceLocations": [
{
"address_1": "740 Marne Hwy Ste 203",
"address_purpose": "LOCATION",
"city": "Moorestown",
"state": "NJ",
"postal_code": "080573127",
"country_code": "US",
"telephone_number": "856-914-1400",
"fax_number": "856-914-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUTTEROFF",
"first_name": "DAVID",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-29",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01792200",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "DAPT005134",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT029613",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wrightstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.