NPIMap

Organization Active NPI

Total Recovery PT, PC

  • Physical Therapist
  • Little Falls, NJ
National Provider Identifier
1659765261
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01557200 Issued in NJ
Legal business name
TOTAL RECOVERY PT, PC
Practice address
72 Main St
Little Falls, NJ 07424-1526
Phone
(973) 857-1616
Fax
(973) 500-6806
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Mr. Jack Zuckerman, D.P.T.NPI 1275817520
Title
Physical Therapist
Phone
(973) 857-1616

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01557200 NJ Primary

Addresses

Primary practice location

72 Main St
Little Falls, NJ 07424-1526

Mailing address

72 Main St
Little Falls, NJ 07424-1526
Phone (973) 857-1616

Other identifiers 1

IdentifierTypeStateIssuer
40QA01557200OtherNJLISCENCE

Other names 1

  • Total Recovery PT PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150923000990 NJ Part B Supplier - Clinic/Group Practice 6002123023 Receives reassigned benefits from 13 practitioners
Practice locations: Little Falls, NJ; West Caldwell, NJ

National Provider Directory

National Provider Directory

Locations

897 Bloomfield Ave
West Caldwell, NJ 07006
Phone (973) 857-1616

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1659765261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MAIN ST",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241526",
            "telephone_number": "973-857-1616",
            "fax_number": "973-500-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 MAIN ST",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241526",
            "telephone_number": "973-857-1616",
            "fax_number": "973-500-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RECOVERY PT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "973-857-1616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01557200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENCE",
            "identifier": "40QA01557200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Recovery PT PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.