Active NPI
Colleen A Bystrak, PT
- Physical Therapist
- Morristown, NJ
National Provider Identifier
1326063306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA2962
- Practice address
- 160 E Hanover Ave
Morristown, NJ 07960-3150 - Phone
- (973) 538-7923
- Fax
- (973) 538-7248
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | QA2962 | NJ | Primary |
Addresses
Primary practice location
160 E Hanover Ave
Morristown, NJ 07960-3150
Mailing address
160 E Hanover Ave
Morristown, NJ 07960-3150
Phone (973) 467-7976
Other practice location 1
222 High Street
Norman Silbert Building Suite 203
Newton, NJ 07860
Phone (973) 383-3822
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 |
|---|---|---|---|
| QA2962 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportscare Institute, Inc. | Physical Therapist | 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.
-
- Physical Therapist
- Toms River, NJ
- NPI 1275501074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1326063306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E HANOVER AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079603150",
"telephone_number": "973-467-7976",
"fax_number": "973-467-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E HANOVER AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079603150",
"telephone_number": "973-538-7923",
"fax_number": "973-538-7248"
}
],
"practiceLocations": [
{
"address_1": "222 High Street",
"address_2": "Norman Silbert Building Suite 203",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "NJ",
"postal_code": "07860",
"country_code": "US",
"telephone_number": "973-383-3822",
"fax_number": "973-383-3814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYSTRAK",
"first_name": "COLLEEN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QA2962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.