Hazel Christine Luque, PT, DPT
Individual provider Active NPI Physical Therapist · Edgewater, NJ
NPI 1184280596 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1184280596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA02311700 (NJ)
- Practice address
- 725 River Rd Ste 60
Edgewater, NJ 07020-1149 - Phone
- (201) 941-2240
- NPI assigned
- May 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Occupational and Physical Therapy, PLLC
Scerbo Physical Therapy and Sports Medicine Institute, LLC
Practice addresses (Care Compare)
530 Kinderkamack Rd
River Edge, NJ 07661-2140
Phone (201) 523-9207
725 River Rd
Suite 60
Edgewater, NJ 07020-1149
Phone (201) 941-2240
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250102001009 | NJ | Practitioner - Physical Therapist in Private Practice | 3274060280 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02311700 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current |
Accepting new patients |
| Scerbo Physical Therapy & Sports Medicine Institute, LLC | Physical Therapist | Current |
Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
725 River Rd
Ste 60
Edgewater, NJ 07020
Phone (201) 833-7213
70 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-4775
1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424
530 Kinderkamack Rd
River Edge, NJ 07661
Phone (201) 523-9207
524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591
576 Broadhollow Rd
Melville, NY 11747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02311700 | NJ | Yes |
Addresses
Primary practice location
725 River Rd Ste 60
Edgewater, NJ 07020-1149
Mailing address
725 River Rd Ste 60
Edgewater, NJ 07020-1149
Phone (201) 941-2240
NPI Registry JSON
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1184280596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 RIVER RD STE 60",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201149",
"telephone_number": "201-941-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 RIVER RD STE 60",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201149",
"telephone_number": "201-941-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUQUE",
"first_name": "HAZEL",
"middle_name": "CHRISTINE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02311700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, NJ
- Daisy H Lignelli
- Tzu Yu Liu
- Adrian Lorenzo
- Lucia Alvarez, MD LLC
- Kelly Marie Ludden-Liauw
- Luxottica of America Inc
- Luxottica of America Inc.
- Patricia Ann Mahmarian
- Jonah Micah Mateos
- Christopher J Mattina
All providers in Edgewater, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.