Individual provider Active NPI

August A. Flores, PT

  • Physical Therapist
  • Berkeley HTS, NJ
National Provider Identifier
1073637096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00899700 Issued in NJ
Practice address
40 Watchung Way
Berkeley HTS, NJ 07922-2600
Phone
(908) 771-5788
NPI assigned
Mar 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00899700 NJ Primary

Addresses

Primary practice location

40 Watchung Way
Berkeley HTS, NJ 07922-2600

Mailing address

350 Baldwin Rd
Apt S13
Parsippany, NJ 07054-2004
Phone (973) 943-2652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118000167 NJ Practitioner - Physical Therapist in Private Practice 9830458926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Therapy Services LLC Physical Therapist CurrentSince Nov 1, 2017 Accepting new patients

Locations

271 US Highway 46
Ste H111
Fairfield, NJ 07004
Phone (877) 887-3574

188 Newark Pompton Tpke
Little Falls, NJ 07424
Phone (877) 887-3574

Organizations & group practices 1

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073637096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BALDWIN RD",
            "address_2": "APT S13",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542004",
            "telephone_number": "973-943-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WATCHUNG WAY",
            "city": "BERKELEY HTS",
            "state": "NJ",
            "postal_code": "079222600",
            "telephone_number": "908-771-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "AUGUST",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00899700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley HTS, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.