Individual provider Active NPI

Brian C Fitzpatrick, D.P.T

  • Physical Therapist
  • Springfield, NJ
National Provider Identifier
1477516334
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA009850 Issued in NJ
Practice address
649 Morris Ave
Springfield, NJ 07081-1518
Phone
(973) 315-3124
Fax
(973) 315-3184
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA009850 NJ Primary

Addresses

Primary practice location

649 Morris Ave
Springfield, NJ 07081-1518

Mailing address

37 Tingley Rd
Morristown, NJ 07960-3354
Phone (917) 476-5496

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051128000003 NJ Practitioner - Physical Therapist in Private Practice 1951321702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

260 Morris Ave
Springfield, NJ 07081-1214
Phone (973) 315-3124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA009850NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitzpatrick Physical Therapy LLC CurrentSince May 23, 2007 Accepting new patients
Activecare Occupational Therapy LLC Physical Therapist Past Accepting new patients
Active Care Spine and Sports Rehab LLC Physical Therapist Past Accepting new patients

Locations

260 Morris Ave
Springfield, NJ 07081
Phone (973) 315-3124

649 Morris Ave
Springfield, NJ 07081
Phone (973) 795-7955

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1477516334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 TINGLEY RD",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603354",
            "telephone_number": "917-476-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811518",
            "telephone_number": "973-315-3124",
            "fax_number": "973-315-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "BRIAN",
        "middle_name": "C",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA009850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.