Individual provider Active NPI

Laura Hill Dijkstra, P.T.

  • Physical Therapist
  • Wayne, NJ
National Provider Identifier
1235345950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA004838 Issued in NJ
Practice address
1581 State Route 23
Wayne, NJ 07470-7508
Phone
(973) 696-7707
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 QA004838 NJ Primary

Addresses

Primary practice location

1581 State Route 23
Wayne, NJ 07470-7508

Mailing address

386 Ratzer Rd
Wayne, NJ 07470-5460
Phone (973) 706-6149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
QA004838NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integration Physical Therapy and Wellness Physical Therapist CurrentSince Mar 21, 2021 Accepting new patients

Organizations & group practices 1

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235345950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 RATZER RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705460",
            "telephone_number": "973-706-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 STATE ROUTE 23",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707508",
            "telephone_number": "973-696-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIJKSTRA",
        "first_name": "LAURA",
        "middle_name": "HILL",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA004838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.