Richard Mark Rutkowski, PT
Individual provider Active NPI Physical Therapist · Warwick, NY
NPI 1811964083 · NPPES record last updated Feb 27, 2014
Key facts
- NPI
- 1811964083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0108481 (NY)
- Practice address
- 214 West St
Warwick, NY 10990-3214 - Phone
- (845) 986-5099
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0108481 | NY | 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 |
| Trinity Rehab Somerset PA | Current |
Accepting new patients | |
| Life Home Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Agingless LLC | 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 |
| Trinity Rehab Somerset PA | Physical Therapist | Current | Accepting new patients |
| Trinity Rehab Somerset PA | Current |
Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0108481 | NY | Yes |
Addresses
Primary practice location
214 West St
Warwick, NY 10990-3214
Mailing address
214 West St
Warwick, NY 10990-3214
Phone (845) 986-5099
Other providers in Warwick, NY
- Sylvia Roome
- Stewart Yves Ross
- Patricia Ann Rossi
- Wayne Rossi
- Jennifer Lenore Rowe
- Maryann Ryan
- Kathryn Ryans
- Toni Ryder
- Barbara J Rys
- Sally James Rudnick, LCSW, PLLC
All providers in Warwick, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.