Individual provider Active NPI

Richard Mark Rutkowski, PT

  • Physical Therapist
  • Warwick, NY
National Provider Identifier
1811964083
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0108481 Issued in NY
Practice address
214 West St
Warwick, NY 10990-3214
Phone
(845) 986-5099
NPI assigned
Mar 7, 2006
Last updated
Feb 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 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 0108481 NY Primary

Addresses

Primary practice location

214 West St
Warwick, NY 10990-3214

Mailing address

214 West St
Warwick, NY 10990-3214
Phone (845) 986-5099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031230000362 NY Practitioner - Physical Therapist in Private Practice 8729986617 Reassigns benefits to 1 organization
I20210629000136 NJ Practitioner - Physical Therapist in Private Practice 8729986617 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

145 Summit CT
Westfield, NJ 07090-2834
Phone (845) 800-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0108481NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jan 18, 2021 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jan 18, 2021 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Nov 15, 2024 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Nov 15, 2024 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
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Life Home Therapy LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Mar 10, 2021 Accepting new patients
Agingless LLC Physical Therapist CurrentSince Sep 10, 2022 Accepting new patients

Locations

486 Brick Blvd
Brick, NJ 08723
Phone (732) 206-6960

67 Walnut Ave
Ste 110
Clark, NJ 07066
Phone (848) 666-1655

226 Middle Rd
Hazlet, NJ 07730
Phone (732) 264-7615

70 S Orange Ave
Ste 220
Livingston, NJ 07039
Phone (973) 626-2350

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

175 Route 37 W
#R
Toms River, NJ 08755

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

576 Broadhollow Rd
Melville, NY 11747

214 West St
Warwick, NY 10990
Phone (845) 986-5099

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1811964083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WEST ST",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109903214",
            "telephone_number": "845-986-5099",
            "fax_number": "845-986-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WEST ST",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109903214",
            "telephone_number": "845-986-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0108481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.