Organization Active NPI

Academy Physical Therapy & Wellness Inc

  • Physical Therapy Clinic/Center
  • Parsippany, NJ
National Provider Identifier
1164618617
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01004600 Issued in NJ
Legal business name
ACADEMY PHYSICAL THERAPY & WELLNESS INC
Practice address
2200 Route 10 West
Suite 206
Parsippany, NJ 07054-5304
Phone
(973) 449-1394
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
Mr. Vladimir Stashchyshyn, MSPTNPI 1275570723
Title
President
Phone
(973) 449-1394

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01004600 NJ Primary

Addresses

Primary practice location

2200 Route 10 West
Suite 206
Parsippany, NJ 07054-5304

Mailing address

2200 Route 10 West
Suite 206
Parsippany, NJ 07054-5304
Phone (973) 449-1394

Other identifiers 1

IdentifierTypeStateIssuer
1275570723OtherNJNPI PERSONAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090908000044 NJ Part B Supplier - Clinic/Group Practice 5890840391 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Knolls, NJ

National Provider Directory

National Provider Directory

Locations

14 Ridgedale Ave
Ste 102
Cedar Knolls, NJ 07927
Phone (973) 449-1394

2200 Route 10
Ste 206
Parsippany, NJ 07054
Phone (973) 449-1394

91 S Jefferson Rd
Ste 301
Whippany, NJ 07981
Phone (973) 449-1394

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1164618617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ROUTE 10 WEST",
            "address_2": "SUITE 206",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070545304",
            "telephone_number": "973-449-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ROUTE 10 WEST",
            "address_2": "SUITE 206",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070545304",
            "telephone_number": "973-449-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY PHYSICAL THERAPY & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "STASHCHYSHYN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-449-1394",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01004600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERSONAL",
            "identifier": "1275570723",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.