Park Physical Therapy Associates,Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA00677 Issued in NJ

Legal business name

PARK PHYSICAL THERAPY ASSOCIATES,INC.

Practice address

400 Cleveland Ave
Highland Park, NJ 08904-2704

Phone

(732) 828-0700

Fax

(732) 828-0712

NPI assigned

Jan 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Frederick B Hahn, PHYSICAL THERAPIST

Title

Vice President

Phone

(732) 821-7878

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yong Du, DPT

  • Physical Therapist
  • North Brunswick, NJ
  • NPI 1942400064
  Medicare reassignment Care Compare group NPD
• Alexandria McSweeney, DPT

  • Physical Therapist
  • East Brunswick, NJ
  • NPI 1003016122
  Medicare reassignment Care Compare group NPD
• Nicole Paschal

  • Physical Therapist
  • Newark, NJ
  • NPI 1932327491
  Medicare reassignment Care Compare group NPD
• Beth Rothman, DPT

  • Physical Therapist
  • Princeton, NJ
  • NPI 1073897815
  Medicare reassignment NPD
• Walter Robert Burbella, P.T.

  • Physical Therapist
  • Bloomfield, NJ
  • NPI 1790909240
  NPD (past)
• Rashmi Chavan, PHYSICAL THERAPIST

  • Physical Therapist
  • Bridgewater, NJ
  • NPI 1528182011
  NPD (past)
• Michael Frank Dilella, MSPT

  • Physical Therapist
  • Morristown, NJ
  • NPI 1679650782
  NPD (past)
• Alexander Formolow, D.P.T.

  • Physical Therapist
  • Willingboro, NJ
  • NPI 1326115635
  NPD (past)
• Mitchell I Kosheff, PT DPT PHYSICAL THER

  • Physical Therapist
  • Jackson, NJ
  • NPI 1134221922
  NPD (past)
• Christopher Gregory Lange, P.T.

  • Physical Therapist
  • Highland Park, NJ
  • NPI 1477529337
  NPD (past)
• Anilkumar L Shah, RPT

  • Physical Therapist
  • Parlin, NJ
  • NPI 1891759072
  NPD (past)
• Leonard Dale Labio Siochi, PT

  • Physical Therapist
  • North Brunswick, NJ
  • NPI 1477625408
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194872028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CLEVELAND AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042704",
            "telephone_number": "732-828-0700",
            "fax_number": "732-828-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CLEVELAND AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042704",
            "telephone_number": "732-828-0700",
            "fax_number": "732-828-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PHYSICAL THERAPY ASSOCIATES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-821-7878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA00677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Wescott Pacifico, M.A., CCC-SLP
• Devora Panish, PSY.D.
• David Panzer, PSYD
• Sudhir M Parikh, M D P A
• Park Chiropractic & Posture L.L.C.
• Eugenie Park
• Hee Nam Park, D.C.
• Parker Home and Community Based Services Inc (Paker at The Pavilion)
• Parker Rehabilitation Services Inc.
• Parker Rehabilitation Services, Inc.

• Physical Therapist in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.