Active NPI
David Bryan Huttinger, PT
- Physical Therapist
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00485800
- Practice address
- 230 N Maple Ave
Marlton, NJ 08053-9400 - Phone
- (609) 320-1471
- NPI assigned
- Mar 24, 2006
- Last updated
- Aug 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT009524L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Physical Therapy, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Marlton, NJ
- NPI 1174531842
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.