Active NPI
Travis L Reiter, DPT
- Orthopedic Physical Therapist
- Ridgewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40QA01343300
- Practice address
- 400 State RT 17 Ste 1
Ridgewood, NJ 07450-2013 - Phone
- (201) 445-8600
- Fax
- (201) 445-8610
- NPI assigned
- May 24, 2012
- Last updated
- Jun 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032107 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 40QA01343300 | NJ | Primary |
Addresses
Primary practice location
400 State RT 17 Ste 1
Ridgewood, NJ 07450-2013
Mailing address
22 Dale Ave
Wyckoff, NJ 07481-3317
Phone (785) 633-9589
Other practice location 1
83 Franklin Tpke
Waldwick, NJ 07463-1820
Phone (201) 445-1079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
637 Wyckoff Ave
Suite 25
Wyckoff, NJ 07481-1442
Phone (201) 848-4599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Sportscare of America, PC | Physical Therapist | Current | Accepting new patients |
| United Sports Care & Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Premier Medical of NJ | Physical Therapist | Past | Accepting new patients |
| Kessler Institute for Rehabilitation, Inc. | Past | Accepting new patients | |
| Madison PT of New Jersey, PC | Physical Therapist | Past | Accepting new patients |
Locations
47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525
1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255
197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700
105 Union Ave
Cresskill, NJ 07626
11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
219 Richmond Ave
New Milford, NJ 07646
Phone (201) 907-3150
140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343
80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313
111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440
530 Lakehurst Rd
Ste 202204
Toms River, NJ 08755
Phone (732) 349-1201
354 Old Hook Rd
Ste G1
Westwood, NJ 07675
Phone (201) 594-9312
637 Wyckoff Ave
Ste 25
Wyckoff, NJ 07481
Phone (201) 848-4599
Organizations & group practices 7
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.
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- Occupational Therapist
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- NPI 1972881233
Physical Therapist
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- Specialist
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- NPI 1437256658
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- Rehabilitation Hospital
- Marlton, NJ
- NPI 1528512266
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- Physical Therapist
- Westwood, NJ
- NPI 1740369347
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- Cardiovascular Disease Physician
- Clifton, NJ
- NPI 1316724263
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1659631570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 DALE AVE",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074813317",
"telephone_number": "785-633-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 STATE RT 17 STE 1",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502013",
"telephone_number": "201-445-8600",
"fax_number": "201-445-8610"
}
],
"practiceLocations": [
{
"address_1": "83 Franklin Tpke",
"address_purpose": "LOCATION",
"city": "Waldwick",
"state": "NJ",
"postal_code": "074631820",
"country_code": "US",
"telephone_number": "201-445-1079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REITER",
"first_name": "TRAVIS",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-24",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032107",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA01343300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.