Individual provider Active NPI

Matthew Holtzer, P.T.

  • Specialist
  • Holmdel, NJ
National Provider Identifier
1497194963
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA01497200 Issued in NJ
Practice address
717 N Beers St Ste 1E
Holmdel, NJ 07733-1525
Phone
(732) 344-2192
Fax
(732) 344-2193
NPI assigned
Jun 18, 2013
Last updated
Jun 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QA01497200 NJ Primary

Addresses

Primary practice location

717 N Beers St Ste 1E
Holmdel, NJ 07733-1525

Mailing address

418 Chestnut St
Union, NJ 07083-9306
Phone (908) 810-9002

Other practice location 1

418 Chestnut St
Union, NJ 07083-9306
Phone (908) 810-9002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130803000188 NJ Practitioner - Physical Therapist in Private Practice 6204078215 Reassigns benefits to 1 organization
I20251110002569 NY Practitioner - Physical Therapist in Private Practice 6204078215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holtzer Physical Therapy PLLCGroup PAC ID 1254820319, 3 clinicians
Holmdel Physical Therapy and Sports Medicine LLCGroup PAC ID 7113206483, 4 clinicians

Practice addresses (Care Compare)

1042 Huguenot Ave
Staten Island, NY 10312-4315
Phone (732) 344-2192

717 N Beers St
Suite 1E
Holmdel, NJ 07733-1525
Phone (732) 344-2192

719 N Beers St
Suite 1E
Holmdel, NJ 07733-1525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holmdel Physical Therapy and Sports Medicine LLC CurrentSince Jul 1, 2016 Accepting new patients
Holtzer Physical Therapy PLLC CurrentSince Sep 2, 2025 Accepting new patients
A to Z Physical Therapy and Sports Medicine LLC Current Accepting new patients

Locations

717 N Beers St
Ste 1E
Holmdel, NJ 07733
Phone (732) 344-2192

1042 Huguenot Ave
Staten Island, NY 10312
Phone (718) 317-5215

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1497194963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839306",
            "telephone_number": "908-810-9002",
            "fax_number": "908-810-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N BEERS ST STE 1E",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331525",
            "telephone_number": "732-344-2192",
            "fax_number": "732-344-2193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070839306",
            "country_code": "US",
            "telephone_number": "908-810-9002",
            "fax_number": "908-810-9012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTZER",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01497200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.