Dustin Garlock, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01719600 Issued in NJ

Practice address

28 Campus Dr
Edison, NJ 08837-3911

Phone

(732) 662-4400

NPI assigned

Feb 11, 2015

Last updated

Jul 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Radical Physical Therapy LLC

  • Physical Therapist
  • Edison, NJ
  • NPI 1659980464
  NPD

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1649661646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CAMPUS DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CAMPUS DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373911",
            "telephone_number": "732-662-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLOCK",
        "first_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-11",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036972",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01719600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden State Pain Management Associates LLC
• Garden State Physicians
• Garden State Surgical Institute LLC
• Matthew J Garfinkel, M.D.
• Deep Garg, M.D.
• Deanna Rain Garrison
• Jennifer Sue Garsh, M.A., CF-SLP
• Gastroenterology Associates of Central Jersey
• Gastroenterology Consultants, P.a.
• Maria C Gatchalian, PT

• Physical Therapist in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.