Active NPI
Brick Hause Physical Therapy PC
- Physical Therapist
- Newark, NJ
National Provider Identifier
1114295524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01366000
- Legal business name
- BRICK HAUSE PHYSICAL THERAPY PC
- Practice address
- 23 Branford PL
Newark, NJ 07102-2711 - Phone
- (973) 424-0080
- Fax
- (973) 424-0088
- NPI assigned
- Dec 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rimoun Hanna, DPT
- Title
- DPT
- Phone
- (732) 586-6693
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01366000 | NJ | Primary |
Addresses
Primary practice location
23 Branford PL
Newark, NJ 07102-2711
Mailing address
263 Adams St
Piscataway, NJ 08854-3135
Phone (732) 586-6693
Other names 1
- RIMOUN HANNA, DPT
National Provider Directory
National Provider DirectoryLocations
23 Branford Pl
Ste Pt
Newark, NJ 07102
Phone (973) 424-0080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1114295524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 ADAMS ST",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088543135",
"telephone_number": "732-586-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 BRANFORD PL",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071022711",
"telephone_number": "973-424-0080",
"fax_number": "973-424-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRICK HAUSE PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-13",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "HANNA",
"authorized_official_first_name": "RIMOUN",
"authorized_official_title_or_position": "DPT",
"authorized_official_telephone_number": "732-586-6693",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01366000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RIMOUN HANNA, DPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.