Hanover Orthopedic & Sports Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HANOVER ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC

Practice address

565 Route 10
Whippany, NJ 07981-1513

Phone

(201) 572-1012

NPI assigned

Jan 3, 2019

Organization subpart

No

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

Authorized official

Name

Keith M Scott, MPTNPI 1083776918

Title

Owner/Member

Phone

(201) 572-1012

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith M. Scott, PT, MPT

  • Physical Therapist
  • Whippany, NJ
  • NPI 1083776918
  NPD (past) Authorized official

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1710450671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BUNKER HILL PL",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079812216",
            "telephone_number": "201-572-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ROUTE 10",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811513",
            "telephone_number": "201-572-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "201-572-1012",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10669911",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Peter Guerra, R.PH.
• Bernard Leo Gutman, OD
• Naama Hadar, RN
• Kendall Marie Hander, MA, LAC
• Hanover NJ Endoscopy ASC LLC (Hanover Endoscopy Center)
• Hearing Health PA LLC (American Hearing Centers)
• Nicole Marie Hill, DPT
• Madison Holloway, PA-C
• Hudson Home Health Care, Inc.
• Henry Robert Hyle, RPH

• Physical Therapist in Whippany, NJ
• Providers in Whippany, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.