Barry F Wachtler, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00206700 Issued in NJ

Practice address

1500 Pleasant Valley Way
Suite 102
West Orange, NJ 07052-2956

Phone

(973) 325-3422

Fax

(973) 325-0825

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MCRC Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1932154853
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114026176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411825",
            "telephone_number": "973-376-7100",
            "fax_number": "973-376-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "SUITE 102",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-325-3422",
            "fax_number": "973-325-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTLER",
        "first_name": "BARRY",
        "middle_name": "F",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00206700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vna Health Group of New Jersey, LLC
• Loren Vocaturo, PHD.
• Claudia C. Volpe, PT, DPT
• Shefali Vyas, MD
• Jessica F Wachtel, MD
• Walgreen Co
• Walgreen Co
• Ariel Kathryn Walker, PHARM D
• Kristina Walker, PA-C
• Lyle G Wallace

• Physical Therapy Assistant in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Physical Therapy Assistant in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.