MBH Physical Therapy & Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MBH PHYSICAL THERAPY & SPORTS MEDICINE

Practice address

80 Pompton Ave Ste 302
Verona, NJ 07044-2913

Phone

(973) 207-8776

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mark Holmes, DPT, ATCNPI 1720503444

Title

Owner

Phone

(973) 207-8776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Mark Bradford Holmes, DPT

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1720503444
  Medicare reassignment Care Compare group NPD Authorized official
• Nikolas Rivera, DPT

  • Physical Therapist
  • Cresskill, NJ
  • NPI 1003692716
  Medicare reassignment Care Compare group
• Laura A Funk, PT, DPT

  • Physical Therapist
  • Littleton, CO
  • NPI 1801496872

  NJ

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1033896147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 LOWER NOTCH RD",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241801",
            "telephone_number": "973-207-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 POMPTON AVE STE 302",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442913",
            "telephone_number": "973-207-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBH PHYSICAL THERAPY & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-207-8776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcarious A Mariyampillai, MD
• Julie David Mathew, PA-C
• Vanessa Mathieu, MD
• Ellen Maulbeck, RD
• Carmine A Mazzella, D.O.
• Thomas P McCarrick, M.D.
• John Joseph McGirr, D.M.D.
• Luke Alexander McGrath
• France Olivia McKnight, FNP-C
• Rhett McKnight, MD

• Physical Therapist in Verona, NJ
• Providers in Verona, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.