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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 (497 clinicians)
Scerbo Physical Therapy and Sports Medicine Institute, LLC (9 clinicians)

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 IDStateProvider typePAC IDDetails
I20250102001009 NJ Practitioner - Physical Therapist in Private Practice 3274060280 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
40QA02311700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current
since Dec 30, 2024
Accepting new patients
Scerbo Physical Therapy & Sports Medicine Institute, LLC Physical Therapist Current
since Jun 6, 2025
Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current
since Dec 30, 2024
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 5, 2025.

{
    "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

All providers in Edgewater, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.