Individual provider Active NPI

Christian Charles Wittig, PT

  • Physical Therapist
  • Kinnelon, NJ
National Provider Identifier
1659385433
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTQA00654300 Issued in NJ
Practice address
3 Maria LN
Kinnelon, NJ 07405-2860
Phone
(973) 296-6532
Fax
(973) 291-4462
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTQA00654300 NJ Primary

Addresses

Primary practice location

3 Maria LN
Kinnelon, NJ 07405-2860

Mailing address

3 Maria LN
Kinnelon, NJ 07405-2860
Phone (973) 296-6532

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTQA00654300NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1659385433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARIA LN",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052860",
            "telephone_number": "973-296-6532",
            "fax_number": "973-291-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MARIA LN",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052860",
            "telephone_number": "973-296-6532",
            "fax_number": "973-291-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTIG",
        "first_name": "CHRISTIAN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PTQA00654300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.