Individual provider Active NPI

Tomasz Popkowski, PTA

  • Physical Therapy Assistant
  • East Rutherford, NJ
National Provider Identifier
1558851980
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
003141 Issued in NY
Practice address
226 Van Winkle St
East Rutherford, NJ 07073-1935
Phone
(120) 141-4843
NPI assigned
May 10, 2018
Last updated
May 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 003141 NY Primary

Addresses

Primary practice location

226 Van Winkle St
East Rutherford, NJ 07073-1935

Mailing address

226 Van Winkle St
East Rutherford, NJ 07073-1935
Phone (120) 141-4843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1558851980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 VAN WINKLE ST",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731935",
            "telephone_number": "120-141-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 VAN WINKLE ST",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731935",
            "telephone_number": "120-141-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPKOWSKI",
        "first_name": "TOMASZ",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "003141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.