Individual provider Active NPI

Talia Holze, DPT

  • Physical Therapist
  • Kendall Park, NJ
National Provider Identifier
1548855935
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01996700 Issued in NJ
Practice address
3228 State Route 27 Ste 2a
Kendall Park, NJ 08824-1524
Phone
(732) 297-0032
Fax
(732) 297-0558
NPI assigned
Mar 8, 2021
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 40QA01996700 NJ Primary

Addresses

Primary practice location

3228 State Route 27 Ste 2a
Kendall Park, NJ 08824-1524

Mailing address

3228 State Route 27 Ste 2a
Kendall Park, NJ 08824-1524
Phone (732) 297-0032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210412000622 NJ Practitioner - Physical Therapist in Private Practice 1254749237 Reassigns benefits to 2 organizations
I20230801003742 PA Practitioner - Physical Therapist in Private Practice 1254749237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Physical Therapy Associates, P.C.Group PAC ID 4880799477, 10 clinicians

Practice addresses (Care Compare)

708 W Nields St
Suite a
West Chester, PA 19382-2128
Phone (484) 460-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Physical Therapy Associates, P.C. Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Jersey Physical Therapy of Princeton-Plainsboro Physical Therapist CurrentSince Mar 8, 2021 Accepting new patients
Jersey Physical Therapy of Milltown/East Brunswick Physical Therapist CurrentSince Mar 8, 2021 Accepting new patients
Ipta Clinical, LLC Physical Therapist PastSince Mar 8, 2021 Accepting new patients

Locations

180 Tices Ln
East Brunswick, NJ 08816
Phone (732) 236-1793

3228 State Route 27
Kendall Park, NJ 08824
Phone (732) 297-0032

3228 State Route 27
Ste 2A
Kendall Park, NJ 08824
Phone (732) 297-0032

3 Liberty St
Ste 1032
Plainsboro, NJ 08536
Phone (609) 785-5386

500 Macdade Blvd
Milmont Park, PA 19033
Phone (610) 557-1300

727 S Chester Rd
Swarthmore, PA 19081
Phone (610) 543-4605

133 Turner Ln
West Chester, PA 19380
Phone (610) 344-9725

708 W Nields St
Ste A
West Chester, PA 19382
Phone (484) 460-3900

Organizations & group practices 4

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1548855935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 STATE ROUTE 27 STE 2A",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241524",
            "telephone_number": "732-297-0032",
            "fax_number": "732-297-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 STATE ROUTE 27 STE 2A",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241524",
            "telephone_number": "732-297-0032",
            "fax_number": "732-297-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZE",
        "first_name": "TALIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01996700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.