NPIMap

Organization Active NPI

Maximum Health Physical Therapy of Long Valley, PC

  • Physical Therapy Clinic/Center
  • Long Valley, NJ
National Provider Identifier
1467052209
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MAXIMUM HEALTH PHYSICAL THERAPY OF LONG VALLEY, PC
Practice address
62 E Mill Rd Ste A2
Long Valley, NJ 07853-3118
Phone
(908) 867-0899
Fax
(908) 509-6207
NPI assigned
Oct 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Jennifer E Reilly
Title
VP
Phone
(973) 527-3765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

62 E Mill Rd Ste A2
Long Valley, NJ 07853-3118

Mailing address

6 Victoria Dr
Flanders, NJ 07836-9634
Phone (908) 867-0899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401000349 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608283007 Receives reassigned benefits from 13 practitioners
Practice locations: Long Valley, NJ

National Provider Directory

National Provider Directory

Locations

62 E Mill Rd
Ste A2
Long Valley, NJ 07853
Phone (908) 520-2377

Practitioners & affiliated clinicians

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1467052209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VICTORIA DR",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369634",
            "telephone_number": "908-867-0899",
            "fax_number": "908-509-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E MILL RD STE A2",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078533118",
            "telephone_number": "908-867-0899",
            "fax_number": "908-509-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM HEALTH PHYSICAL THERAPY OF LONG VALLEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "973-527-3765"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Valley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.