Organization Active NPI

Brick Hause Physical Therapy PC

  • Physical Therapist
  • Newark, NJ
National Provider Identifier
1114295524
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01366000 Issued in NJ
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

Updated by the provider on Mar 13, 2012

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.