Individual provider Active NPI

Travis L Reiter, DPT

  • Orthopedic Physical Therapist
  • Ridgewood, NJ
National Provider Identifier
1659631570
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA01343300 Issued in NJ
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20120712000030 NJ Practitioner - Physical Therapist in Private Practice 3173788437 Reassigns benefits to 4 organizations

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
Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians

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

OrganizationSpecialtyStatusNew patients
Madison Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Apr 10, 2025 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Apr 10, 2025 Accepting new patients
Premier Medical of NJ Physical Therapist PastSince Jun 1, 2017 Accepting new patients
Kessler Institute for Rehabilitation, Inc. Past Accepting new patients
Madison PT of New Jersey, PC Physical Therapist PastSince Nov 14, 2023 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.

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.

Verify at the official NPI Registry.