Active NPI
Daniel Leo Wallenstein, DPT, LPT
- Physical Therapist
- Cliffside Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01915600
- Practice address
- 590 Anderson Ave
Cliffside Park, NJ 07010-1721 - Phone
- (201) 941-8667
- Fax
- (201) 941-3353
- NPI assigned
- Aug 24, 2015
- Last updated
- Feb 19, 2020
- 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 | 40QA01915600 | NJ | Primary |
| Athletic Trainer | 2255A2300X | NU |
Addresses
Primary practice location
590 Anderson Ave
Cliffside Park, NJ 07010-1721
Mailing address
40 Conger St Apt 203a
Bloomfield, NJ 07003-3314
Phone (917) 837-7602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Occupational and Physical Therapy, PLLC
Practice addresses (Care Compare)
524 Williamstown Rd
Sicklerville, NJ 08081-1800
Phone (856) 516-0593
79 Ronald Reagan Blvd
Warwick, NY 10990-4105
Phone (845) 998-6509
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01915600 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Rothman Orthopaedics of New Jersey, LLC | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Rothman Institute of New Jersey, P.a. | Current | Accepting new patients |
Locations
590 Anderson Ave
Cliffside Pk, NJ 07010
Phone (201) 941-8667
999 Route 73 N
Ste 401
Marlton, NJ 08053
Phone (609) 617-3546
1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424
524 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 262-9564
524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591
390 Old Hook Rd
Ste 103
Westwood, NJ 07675
123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248
576 Broadhollow Rd
Melville, NY 11747
79 Ronald Reagan Blvd
Warwick, NY 10990
Phone (845) 328-8967
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
Organizations & group practices 7
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.
-
- Occupational Therapist
- Sicklerville, NJ
- NPI 1215487772
Physical Therapist
-
dba Rothman Orthopaedics Institute
- Orthopaedic Surgery Physician
- Marlton, NJ
- NPI 1215978630
-
- Occupational Therapist
- Rockville Centre, NY
- NPI 1205296902
Physical Therapist
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
-
- Prosthetic/Orthotic Supplier
- Manahawkin, NJ
- NPI 1831611243
-
- Occupational Therapist
- Merrick, NY
- NPI 1427569862
Physical Therapist
-
- Occupational Therapist
- Whitestone, NY
- NPI 1487104261
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1720455850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 CONGER ST APT 203A",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033314",
"telephone_number": "917-837-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 ANDERSON AVE",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070101721",
"telephone_number": "201-941-8667",
"fax_number": "201-941-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLENSTEIN",
"first_name": "DANIEL",
"middle_name": "LEO",
"credential": "DPT, LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-24",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01915600",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cliffside Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.