Michael C Nwosu, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00409800 Issued in NJ

Practice address

266 Harristown Rd Ste 200
Glen Rock, NJ 07452-3354

Phone

(201) 445-7000

NPI assigned

Nov 13, 2023

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380
  NPD (past)

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1760256457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BROOKSIDE LN",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561364",
            "telephone_number": "973-723-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 200",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523354",
            "telephone_number": "201-445-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Ridgedale Ave Ste 155",
            "address_purpose": "LOCATION",
            "city": "Cedar Knolls",
            "state": "NJ",
            "postal_code": "079272198",
            "country_code": "US",
            "telephone_number": "973-605-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00409800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NJ Vein Specialists
• Marissa Norman, PSYD
• Michael Fiore Notarmaso, PT, DPT
• Malika Nurbekova, MD
• Nutopia, LLC
• Jane O'Rourke, APN
• Oasis Medical and Surgical Wellness Group LLC
• Spencer Louis Ochner, PA-C
• Opticians of Glen Rock
• Optimal Care Surgical Services

• Physical Therapy Assistant in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.