Active NPI
Academy Physical Therapy & Wellness Inc
- Physical Therapy Clinic/Center
- Parsippany, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 40QA01004600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vladimir Stashchyshyn, MSPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275570723 | Other | NJ | NPI PERSONAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Cedar Knolls, NJ
- NPI 1275570723
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.