Individual provider Active NPI

David Bryan Huttinger, PT

  • Physical Therapist
  • Marlton, NJ
National Provider Identifier
1700846748
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00485800 Issued in NJ
Practice address
230 N Maple Ave
Marlton, NJ 08053-9400
Phone
(609) 320-1471
NPI assigned
Mar 24, 2006
Last updated
Aug 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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 40QA00485800 NJ Primary
Physical Therapist 225100000X PT009524L PA

Addresses

Primary practice location

230 N Maple Ave
Marlton, NJ 08053-9400

Mailing address

230 N Maple Ave Ste B10
Marlton, NJ 08053-9423
Phone (856) 396-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060315000021 NJ Practitioner - Physical Therapist in Private Practice 3678580768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Physical Therapy, LLCGroup PAC ID 8820096860, 4 clinicians

Practice addresses (Care Compare)

230 N Maple Ave
Suite B10
Marlton, NJ 08053-9423
Phone (856) 396-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT009524LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Physical Therapy, LLC Physical Therapist CurrentSince Jun 27, 2006 Accepting new patients

Locations

230 N Maple Ave
Ste B10
Marlton, NJ 08053
Phone (856) 396-2500

230 N Maple Ave
Ste G10
Marlton, NJ 08053
Phone (856) 396-2500

Organizations & group practices 1

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1700846748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MAPLE AVE STE B10",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539423",
            "telephone_number": "856-396-2500",
            "fax_number": "856-396-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MAPLE AVE",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539400",
            "telephone_number": "609-320-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTINGER",
        "first_name": "DAVID",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00485800",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009524L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.