Organization Active NPI

Holsman PT Rehabilitation

  • Geriatric Physical Therapist
  • Kearny, NJ
National Provider Identifier
1699027953
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
40QA00978900 Issued in NJ
Legal business name
HOLSMAN PT REHABILITATION
Practice address
711 Kearny Ave
2ND FLR
Kearny, NJ 07032-3003
Phone
(201) 535-8555
Fax
(201) 299-3506
NPI assigned
Oct 11, 2012
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Richard Holsman, PT DPT GCSNPI 1164648481
Title
President
Phone
(973) 393-5545

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 40QA00978900 NJ Primary
Occupational Therapist 225X00000X 46TR00505400 NJ
Speech-Language Pathologist 235Z00000X 41YS00629500 NJ

Addresses

Primary practice location

711 Kearny Ave
2ND FLR
Kearny, NJ 07032-3003

Mailing address

710 Mill St
Unit H3
Belleville, NJ 07109-5318
Phone (973) 759-1494

National Provider Directory

National Provider Directory
Tax ID family
Holsman PT Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1699027953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILL ST",
            "address_2": "UNIT H3",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095318",
            "telephone_number": "973-759-1494",
            "fax_number": "973-759-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 KEARNY AVE",
            "address_2": "2ND FLR",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323003",
            "telephone_number": "201-535-8555",
            "fax_number": "201-299-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLSMAN PT REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "HOLSMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-393-5545",
        "authorized_official_credential": "PT DPT GCS"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "40QA00978900",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00505400",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00629500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.