Austin Thomas Pothen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211355 Issued in VA

Practice address

250 Mill St
Belleville, NJ 07109-2473

Phone

(845) 596-9031

NPI assigned

Aug 8, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Coast Spine Joint and Sports MedicineGroup PAC ID 2365530938, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East Coast Spine Joint and Sports Medicine

  dba The Spine and Sports Health Center

  • Physical Medicine & Rehabilitation Physician
  • Hoboken, NJ
  • NPI 1194904730
  Medicare reassignment Care Compare group NPD
• Chiropractic Works, LLC

  dba Oakland Spine and Physical Therapy

  • Chiropractor
  • Oakland, NJ
  • NPI 1043468895

  Physical Therapist

  Medicare reassignment NPD
• Jeevan Therapy

  dba Roseville Physical Therapy & Rehabilitation

  • Physical Therapy Clinic/Center
  • Newark, NJ
  • NPI 1194195271
  Medicare reassignment

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1104341445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PERRY WOODS CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212341332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MILL ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092473",
            "telephone_number": "845-596-9031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Orange St Ste No2",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071072944",
            "country_code": "US",
            "telephone_number": "845-596-9031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTHEN",
        "first_name": "AUSTIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Lisette Platero, FNP-C
• Podiatry Associates of Belleville PC
• Anthony Joseph Polizzi, MA, LCADC
• Joseph Anthony Porcello, ATC
• James Pormentilla, P.A.
• Carrie Prakope, NP
• Scott Price, PHARMD
• Pro Health Physical Therapy, PC
• Prohealth LLC
• Prospect Pediatrics PA

• Physical Therapist in Belleville, NJ
• Providers in Belleville, 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 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.