NPIMap

Organization Active NPI

Montville Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Montville, NJ
National Provider Identifier
1467617795
Registry record updated Oct 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MONTVILLE PHYSICAL THERAPY, PC
Practice address
2 Changebridge Rd
East Building, Suite F
Montville, NJ 07045-8947
Phone
(973) 917-3134
Fax
(973) 917-3138
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2012

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

Authorized official

Name
Benjamin Meir Burton, PT, DPTNPI 1619061074
Title
Owner
Phone
(973) 917-3134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2 Changebridge Rd
East Building, Suite F
Montville, NJ 07045-8947

Mailing address

2 Changebridge Rd
East Building, Suite F
Montville, NJ 07045-8947
Phone (973) 917-3134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081023000180 NJ Part B Supplier - Clinic/Group Practice 0244398030 Receives reassigned benefits from 24 practitioners
Practice locations: Montville, NJ

National Provider Directory

National Provider Directory

Locations

2 Changebridge Rd
#F
Montville, NJ 07045
Phone (973) 917-3134

2 Changebridge Rd
Ste F
Montville, NJ 07045
Phone (973) 917-3134

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351382400000",
    "number": "1467617795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHANGEBRIDGE RD",
            "address_2": "EAST BUILDING, SUITE F",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070458947",
            "telephone_number": "973-917-3134",
            "fax_number": "973-917-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHANGEBRIDGE RD",
            "address_2": "EAST BUILDING, SUITE F",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070458947",
            "telephone_number": "973-917-3134",
            "fax_number": "973-917-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTVILLE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2012-10-28",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "MEIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-917-3134",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2012; 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.