Active NPI
Brian C Fitzpatrick, D.P.T
- Physical Therapist
- Springfield, NJ
National Provider Identifier
1477516334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA009850
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| QA009850 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitzpatrick Physical Therapy LLC | Current | 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.
-
- Physical Therapy Clinic/Center
- Springfield, NJ
- NPI 1861548620
-
- Physical Therapist
- Dover, NJ
- NPI 1780626440
-
- Occupational Therapist
- Dover, NJ
- NPI 1942242219
Physical Therapist
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.