NPIMap

Organization Active NPI

Holsman Physical and Occupational Therapy, PC

  • Geriatric Physical Therapist
  • Rahway, NJ
National Provider Identifier
1114276441
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
40QA00978900 Issued in NJ
Legal business name
HOLSMAN PHYSICAL AND OCCUPATIONAL THERAPY, PC
Practice address
1600 Saint Georges Ave
Suite 107
Rahway, NJ 07065-2764
Phone
(732) 428-5566
Fax
(732) 428-5513
NPI assigned
Aug 31, 2012
Last updated
Mar 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Dr. Richard S Holsman, PT, DPT, MAT, GCSNPI 1164648481
Title
President and Ceo
Phone
(973) 393-5545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 40QA00978900 NJ Primary
Occupational Therapist 225X00000X 46TR00407200 NJ
Speech-Language Pathologist 235Z00000X 41YS00629500 NJ

Addresses

Primary practice location

1600 Saint Georges Ave
Suite 107
Rahway, NJ 07065-2764

Mailing address

710 Mill St
Unit H3
Belleville, NJ 07109-5318
Phone (732) 428-5566

Other practice location 1

15-01 Broadway Ste 12
Fair Lawn, NJ 07410-6018
Phone (201) 355-5199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130418000173 NJ Part B Supplier - Clinic/Group Practice 8426294455 Receives reassigned benefits from 54 practitioners
Practice locations: Rahway, NJ; Fair Lawn, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1114276441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILL ST",
            "address_2": "UNIT H3",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095318",
            "telephone_number": "732-428-5566",
            "fax_number": "732-428-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT GEORGES AVE",
            "address_2": "SUITE 107",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652764",
            "telephone_number": "732-428-5566",
            "fax_number": "732-428-5513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15-01 Broadway Ste 12",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074106018",
            "country_code": "US",
            "telephone_number": "201-355-5199",
            "fax_number": "732-428-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLSMAN PHYSICAL AND OCCUPATIONAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "HOLSMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "973-393-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MAT, GCS"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "40QA00978900",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00407200",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00629500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.