NPIMap

Organization Active NPI

Iron Physical Therapy

  • Physical Therapy Clinic/Center
  • Caldwell, NJ
National Provider Identifier
1841589389
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01282400 Issued in NJ
Legal business name
IRON PHYSICAL THERAPY
Practice address
474 Bloomfield Ave
Caldwell, NJ 07006-5402
Phone
(973) 228-4766
Fax
(973) 228-3778
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Calvin Mayes Jr., PTNPI 1952567299
Title
Physical Therapist/Owner
Phone
(973) 228-4766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01282400 NJ Primary

Addresses

Primary practice location

474 Bloomfield Ave
Caldwell, NJ 07006-5402

Mailing address

474 Bloomfield Ave
Caldwell, NJ 07006-5402
Phone (973) 228-4766

Other practice location 1

656 Godwin Ave
Midland Park, NJ 07432-1405
Phone (201) 857-8899

Other practice location 2

396 Bloomfield Ave
Caldwell, NJ 07006-4905
Phone (973) 228-3708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110523000737 NJ Part B Supplier - Clinic/Group Practice 6002092228 Receives reassigned benefits from 11 practitioners
Practice locations: Caldwell, NJ; Midland Park, NJ

National Provider Directory

National Provider Directory

Locations

396 Bloomfield Ave
Caldwell, NJ 07006
Phone (973) 228-3708

474 Bloomfield Ave
Caldwell, NJ 07006
Phone (973) 228-3708

656 Godwin Ave
Midland Park, NJ 07432
Phone (201) 857-8899

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1841589389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065402",
            "telephone_number": "973-228-4766",
            "fax_number": "973-228-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065402",
            "telephone_number": "973-228-4766",
            "fax_number": "973-228-3778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "656 Godwin Ave",
            "address_purpose": "LOCATION",
            "city": "Midland Park",
            "state": "NJ",
            "postal_code": "074321405",
            "country_code": "US",
            "telephone_number": "201-857-8899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "396 Bloomfield Ave",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "NJ",
            "postal_code": "070064905",
            "country_code": "US",
            "telephone_number": "973-228-3708",
            "fax_number": "973-228-3778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "973-228-4766",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01282400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.