NPIMap

Organization Active NPI

Maximum Health Physical Therapy LLC

  • Physical Therapist
  • Budd Lake, NJ
National Provider Identifier
1700326501
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01010500 Issued in NJ
Legal business name
MAXIMUM HEALTH PHYSICAL THERAPY LLC
Practice address
197 US Highway 46
Budd Lake, NJ 07828-3009
Phone
(973) 362-0155
Fax
(973) 741-4200
NPI assigned
Feb 28, 2017
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Jeffrey Kessler, MPTNPI 1578555827
Title
Owner
Phone
(973) 362-0155

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 40QA01010500 NJ Primary

Addresses

Primary practice location

197 US Highway 46
Budd Lake, NJ 07828-3009

Mailing address

6 Victoria Dr
Flanders, NJ 07836-9634
Phone (973) 362-0155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170301000883 NJ Part B Supplier - Clinic/Group Practice 8123302635 Receives reassigned benefits from 13 practitioners
Practice locations: Budd Lake, NJ

National Provider Directory

National Provider Directory

Locations

197 US Highway 46
Budd Lake, NJ 07828
Phone (973) 347-0500

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1700326501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VICTORIA DR",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369634",
            "telephone_number": "973-362-0155",
            "fax_number": "973-741-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 US HIGHWAY 46",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078283009",
            "telephone_number": "973-362-0155",
            "fax_number": "973-741-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM HEALTH PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-362-0155",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01010500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Budd Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.