Individual provider Active NPI

Hector D Zurita, PT, DPT

  • Physical Therapist
  • Fair Lawn, NJ
National Provider Identifier
1194274241
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01696400 Issued in NJ
Practice address
28-12 Broadway
Fair Lawn, NJ 07410-3924
Phone
(201) 475-8482
Fax
(210) 475-8139
NPI assigned
Sep 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01696400 NJ Primary

Addresses

Primary practice location

28-12 Broadway
Fair Lawn, NJ 07410-3924

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (914) 294-4050

Other practice location 1

65 Grand St
Little Ferry, NJ 07643-1506
Phone (201) 923-3730

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161108000988 NJ Practitioner - Physical Therapist in Private Practice 9133408578 Reassigns benefits to 2 organizations
Practice locations: North Bergen, NJ

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Active Sport and Spine Therapy LLCGroup PAC ID 7012383037, 2 clinicians
Tawil Physical Therapy and Sports Performance PAGroup PAC ID 9032361092, 2 clinicians

Practice addresses (Care Compare)

275 Paterson Ave
Suite 202
Little Falls, NJ 07424-1658
Phone (201) 661-1417

8701 Kennedy Blvd
North Bergen, NJ 07047-4387
Phone (201) 552-9072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01696400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Sport & Spine Therapy LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients

Locations

275 Paterson Ave
Ste 202
West Paterson, NJ 07424
Phone (201) 661-1417

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1194274241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-12 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103924",
            "telephone_number": "201-475-8482",
            "fax_number": "210-475-8139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Grand St",
            "address_purpose": "LOCATION",
            "city": "Little Ferry",
            "state": "NJ",
            "postal_code": "076431506",
            "country_code": "US",
            "telephone_number": "201-923-3730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZURITA",
        "first_name": "HECTOR",
        "middle_name": "D",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-30",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01696400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.