Curt W Mundorff, PHYSICAL THERAPY

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00674200 Issued in NJ

Practice address

313 South Ave Ste 205
Fanwood, NJ 07023-1364

Phone

(908) 889-7900

Fax

(908) 889-6003

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710046099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SOUTH AVE STE 205",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231364",
            "telephone_number": "908-889-7900",
            "fax_number": "908-889-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SOUTH AVE STE 205",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231364",
            "telephone_number": "908-889-7900",
            "fax_number": "908-889-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDORFF",
        "first_name": "CURT",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00674200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mira Vie at Fanwood Opco LLC
• Domenic Monaco, DMD
• Karen Monaco, M.A.,LPC
• Morningside Health Limited Liability Com
• Katherine Pretto Most, LCSW
• Myadultdaycare, LLC
• Michele Netter, L.C.S.W.
• New Pathways to Success, Inc.
• Evelyn Josefa Nieves, PH.D. LCSW
• Desiree Noland

• All providers in Fanwood, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.