Active NPI
Nicole Joy Wolfin, DPT
- Orthopedic Physical Therapist
- Teaneck, NJ
National Provider Identifier
1255647012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40QA01496700
- Practice address
- 1086 Teaneck Rd
Suite 3E
Teaneck, NJ 07666-4854 - Phone
- (201) 833-1333
- NPI assigned
- Aug 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 032977 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 40QA01496700 | NJ | Primary |
Addresses
Primary practice location
1086 Teaneck Rd
Suite 3E
Teaneck, NJ 07666-4854
Mailing address
2208 The PLZ
Tenafly, NJ 07670-1053
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032977 | NY | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance and Concussion Therapy Center, LLC | Orthopedic | Past | 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.
-
- Neurology Physical Therapist
- Hackensack, NJ
- NPI 1609595057
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1255647012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 THE PLZ",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076701053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 TEANECK RD",
"address_2": "SUITE 3E",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664854",
"telephone_number": "201-833-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFIN",
"first_name": "NICOLE",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-31",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "032977",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA01496700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.