Individual provider Active NPI

David Kutteroff, PT, DPT, CSCS

  • Physical Therapist
  • Wrightstown, NJ
National Provider Identifier
1013402221
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01792200 Issued in NJ
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180814000735 NJ Practitioner - Physical Therapist in Private Practice 5698024305
I20210901003319 PA Practitioner - Physical Therapist in Private Practice 5698024305 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DAPT005134PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Mar 26, 2024 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Mar 26, 2024 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.

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.

Verify at the official NPI Registry.