Individual provider Active NPI

Joseph David Myhren, PT

  • Physical Therapist
  • Montclair, NJ
National Provider Identifier
1811320872
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7133 Issued in SC
Practice address
15 Bloomfield Ave
Montclair, NJ 07042-4888
Phone
(973) 287-3532
Fax
(973) 744-2766
NPI assigned
Aug 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7133 SC Primary

Addresses

Primary practice location

15 Bloomfield Ave
Montclair, NJ 07042-4888

Mailing address

15 Bloomfield Ave
Montclair, NJ 07042-4888
Phone (973) 287-3532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150109000257 NJ Practitioner - Physical Therapist in Private Practice 4688818073 Reassigns benefits to 2 organizations
I20250709001752 NY Practitioner - Physical Therapist in Private Practice 4688818073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolve Physical Therapy, P. C.Group PAC ID 3678985595, 7 clinicians
Parabolic Performance and Rehab, LLCGroup PAC ID 8022200278, 10 clinicians

Practice addresses (Care Compare)

1128 State Route 17K
Suite 3
Montgomery, NY 12549-2270
Phone (845) 769-7777

15 Bloomfield Ave
Montclair, NJ 07042-4888
Phone (973) 477-2770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parabolic Performance & Rehab, LLC CurrentSince Dec 1, 2014 Accepting new patients
Resolve Physical Therapy, P. C. Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Parabolic Performance & Rehabilitation Little Falls LLC Physical Therapist CurrentSince Jan 1, 2014 Accepting new patients

Locations

1 Hall Dr
Little Falls, NJ 07424
Phone (973) 509-9800

15 Bloomfield Ave
Montclair, NJ 07042
Phone (973) 477-2770

1751 State Route 17A
Ste 1L
Florida, NY 10921
Phone (845) 769-7777

1128 State Route 17K
Ste 3
Montgomery, NY 12549
Phone (845) 769-7777

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1811320872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424888",
            "telephone_number": "973-287-3532",
            "fax_number": "973-744-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424888",
            "telephone_number": "973-287-3532",
            "fax_number": "973-744-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYHREN",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.

Verify at the official NPI Registry.