Active NPI
Peak Health Physical Therapy
- Physical Therapist
- Rochelle Park, NJ
National Provider Identifier
1023547205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01117600
- Legal business name
- PEAK HEALTH PHYSICAL THERAPY
- Practice address
- 50 Essex St
Rochelle Park, NJ 07662-4341 - Phone
- (201) 647-3669
- Fax
- (201) 212-6393
- NPI assigned
- Jun 9, 2017
- 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
- Mr. Stephen Tawadros, P.T.
- Title
- Owner/Physical Therapist
- Phone
- (201) 647-3669
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 | 40QA01117600 | NJ | Primary |
Addresses
Primary practice location
50 Essex St
Rochelle Park, NJ 07662-4341
Mailing address
623 Lafayette Ave Ste 101
Hawthorne, NJ 07506-2439
Phone (201) 647-3669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
623 Lafayette Ave
Ste 101
Hawthorne, NJ 07506
Phone (201) 647-3669
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Hawthorne, NJ
- NPI 1083733208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675641600000",
"number": "1023547205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 LAFAYETTE AVE STE 101",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075062439",
"telephone_number": "201-647-3669",
"fax_number": "201-212-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ESSEX ST",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076624341",
"telephone_number": "201-647-3669",
"fax_number": "201-212-6393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK HEALTH PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-09",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A",
"authorized_official_last_name": "TAWADROS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "201-647-3669",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01117600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochelle Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.