Active NPI
Karl F. Hurban, L.P.T.
- Physical Therapy Clinic/Center
- Vineland, NJ
National Provider Identifier
1558692913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 40QA00374400
- Practice address
- 2417 La Valle Ave
Vineland, NJ 08360-6812 - Phone
- (609) 247-5483
- Fax
- (856) 696-7861
- NPI assigned
- Jan 26, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00374400 | NJ | |
| Physical Therapy Clinic/Center | 261QP2000X | 40QA00374400 | NJ | Primary |
Addresses
Primary practice location
2417 La Valle Ave
Vineland, NJ 08360-6812
Mailing address
PO Box 63
Bridgeton, NJ 08302-0048
Phone (856) 451-9395
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, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 W Somerdale Rd
Suite 2B
Voorhees, NJ 08043-2266
Phone (856) 504-3150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00374400 | NJ | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Independence Therapy Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
Locations
300 W Somerdale Rd
Ste 2B
Voorhees, NJ 08043
Phone (856) 504-3150
306 W Somerdale Rd
Voorhees, NJ 08043
Phone (856) 504-3150
Organizations & group practices 1
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 Therapist
- Voorhees, NJ
- NPI 1467695759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1558692913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083020048",
"telephone_number": "856-451-9395",
"fax_number": "856-451-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 LA VALLE AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606812",
"telephone_number": "609-247-5483",
"fax_number": "856-696-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURBAN",
"first_name": "KARL",
"middle_name": "F.",
"name_prefix": "Mr.",
"credential": "L.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-26",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00374400",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NJ",
"license": "40QA00374400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.