Individual provider Active NPI

Myriz Orate Fernandez

  • Physical Therapist
  • Woodstown, NJ
National Provider Identifier
1588324933
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01670900 Issued in NJ
Practice address
150 West Ave Apt 1202
Woodstown, NJ 08098-1147
Phone
(929) 386-8900
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01670900 NJ Primary

Addresses

Primary practice location

150 West Ave Apt 1202
Woodstown, NJ 08098-1147

Mailing address

150 West Ave Apt 1202
Woodstown, NJ 08098-1147
Phone (929) 386-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220428000602 PA Practitioner - Physical Therapist in Private Practice 4688061310 Reassigns benefits to 1 organization
I20250310001263 NJ Practitioner - Physical Therapist in Private Practice 4688061310 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

333 N Broad St
Elizabeth, NJ 07208-3706
Phone (731) 366-3443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc Single Specialty Current Accepting new patients
Holsman Physical Therapy and Rehabilitation PC Single Specialty CurrentSince Mar 31, 2025 Accepting new patients
Sportsmed PT LLC Single Specialty CurrentSince Apr 28, 2025 Accepting new patients
Holsman Physical Therapy and Wellness PC Single Specialty CurrentSince Mar 31, 2025 Accepting new patients
Holsman Physical and Occupational Therapy, PC Single Specialty CurrentSince Jan 17, 2025 Accepting new patients
Temple Faculty Practice Plan, Inc Single Specialty CurrentSince Feb 7, 2022 Accepting new patients
Home Therapy, LLC Single Specialty CurrentSince Mar 31, 2025 Accepting new patients
Temple Faculty Practice Plan Inc Single Specialty CurrentSince Feb 7, 2022 Accepting new patients
Holsman Physical and Occupational Therapy PC Physical Therapist CurrentSince Jan 17, 2025 Accepting new patients

Locations

408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901

333 N Broad St
Elizabeth, NJ 07208
Phone (731) 366-3443

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555

1985 Springfield Ave
Maplewood, NJ 07040
Phone (701) 763-5010

902 N 5th St
#C104
Newark, NJ 07107
Phone (973) 910-2300

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

11000 Roosevelt Blvd
Philadelphia, PA 19116
Phone (215) 214-6655

3500 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3656

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1588324933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WEST AVE APT 1202",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981147",
            "telephone_number": "929-386-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WEST AVE APT 1202",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981147",
            "telephone_number": "929-386-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MYRIZ",
        "middle_name": "ORATE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01670900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.