Individual provider Active NPI

Brian Christopher Perkowski, PT, MPT

  • Pediatric Physical Therapist
  • Hamilton, NJ
National Provider Identifier
1114130440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
40QA01022200 Issued in NJ
Practice address
3575 Quakerbridge Rd
Hamilton, NJ 08619-1205
Phone
(609) 631-2800
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

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
Pediatric Physical Therapist 2251P0200X 40QA01022200 NJ Primary

Addresses

Primary practice location

3575 Quakerbridge Rd
Hamilton, NJ 08619-1205

Mailing address

29 Tarnsfield Rd
Westampton, NJ 08060-2361
Phone (609) 267-4770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA01022200NJMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114130440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TARNSFIELD RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080602361",
            "telephone_number": "609-267-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 QUAKERBRIDGE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191205",
            "telephone_number": "609-631-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKOWSKI",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PT, MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA01022200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

Verify at the official NPI Registry.