NPIMap

Organization Active NPI

Holsman Physical Therapy and Rehabilitation PC

  • Geriatric Physical Therapist
  • Clifton, NJ
National Provider Identifier
1629350467
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
40QA00978900 Issued in NJ
Legal business name
HOLSMAN PHYSICAL THERAPY AND REHABILITATION PC
Practice address
1070 Clifton Ave
Suite 1
Clifton, NJ 07013-3619
Phone
(973) 246-6565
Fax
(973) 883-0140
NPI assigned
Sep 19, 2011
Last updated
Dec 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Dr. Richard Holsman, PT, DPT, MAT, GCSNPI 1164648481
Title
President/Ceo
Phone
(973) 393-5545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00978900 NJ
Physical Therapist 225100000X 40QA01340100 NJ
Geriatric Physical Therapist 2251G0304X 40QA00978900 NJ Primary
Occupational Therapist 225X00000X 46TR00485600 NJ
Occupational Therapist 225X00000X 46TR00214900 NJ
Speech-Language Pathologist 235Z00000X 41YS00629500 NJ

Addresses

Primary practice location

1070 Clifton Ave
Suite 1
Clifton, NJ 07013-3619

Mailing address

710 Mill St
Unit H3
Belleville, NJ 07109-5318
Phone (973) 393-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111111000436 NJ Part B Supplier - Clinic/Group Practice 2567636442 Receives reassigned benefits from 31 practitioners
Practice locations: Clifton, NJ; Jersey City, NJ; Kearny, NJ; Paterson, NJ

National Provider Directory

National Provider Directory

Locations

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

361 Montgomery St
Ste 1
Jersey City, NJ 07302
Phone (201) 932-2656

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

764 Main St
Ste 401
Paterson, NJ 07503
Phone (973) 705-7255

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1629350467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILL ST",
            "address_2": "UNIT H3",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095318",
            "telephone_number": "973-393-5545",
            "fax_number": "973-759-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 CLIFTON AVE",
            "address_2": "SUITE 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133619",
            "telephone_number": "973-246-6565",
            "fax_number": "973-883-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLSMAN PHYSICAL THERAPY AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "HOLSMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "973-393-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MAT, GCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00978900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01340100",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "40QA00978900",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00485600",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00214900",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00629500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.