Mark Edward Holterhoff, M.A., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00135400 Issued in NJ

Practice address

2025 Hamburg Tpke
Suite E
Wayne, NJ 07470-6260

Phone

(973) 835-2827

Fax

(973) 835-1856

NPI assigned

Nov 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy Associates of Wayne, Inc.

  • Physical Therapy Clinic/Center
  • Wayne, NJ
  • NPI 1992870802
  Authorized official Same address or phone
• Performance PT LLC

  • Orthopedic Physical Therapist
  • Wayne, NJ
  • NPI 1003196213
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427123322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SURREY DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705222",
            "telephone_number": "973-835-2827",
            "fax_number": "973-835-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HAMBURG TPKE",
            "address_2": "SUITE E",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706260",
            "telephone_number": "973-835-2827",
            "fax_number": "973-835-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTERHOFF",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "M.A., P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00135400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K4272",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0XFORD",
            "identifier": "P415537",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine A Hinic, RN, APRN
• Susanna Ngafun Ho, OTR
• Linda Lee Hogan, OD
• Holmes Holding Co (Holmes & Brown Consensus Holdging Co)
• Michael S. Holmgren, PT, DPT
• Home Health Care Edition (Care Edition)
• Home Therapy Solutions, LLC
• Hala Moussallieh Homsy
• Hope Christian Services
• Horizon Hematology/Oncology Corp

• Physical Therapist in Wayne, NJ
• Providers in Wayne, 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 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.