Organization Active NPI

Awc PT & Rehabilitation, LLC

  • Chiropractor
  • Millburn, NJ
National Provider Identifier
1861543522
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00567300 Issued in NJ
Legal business name
AWC PT & REHABILITATION, LLC
Practice address
96-98 Millburn Avenue
Suite #102
Millburn, NJ 07041-1944
Phone
(973) 486-0212
Fax
(973) 486-0212
NPI assigned
Jan 16, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Daniel Houshmand, D.C., D.I.B.E.NPI 1265439277
Title
Owner
Phone
(973) 486-0212

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00567300 NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00459400 NJ

Addresses

Primary practice location

96-98 Millburn Avenue
Suite #102
Millburn, NJ 07041-1944

Mailing address

96-98 Millburn Avenue
Suite #102
Millburn, NJ 07041-1944
Phone (973) 486-0212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110221000639 NJ Part B Supplier - Clinic/Group Practice 6204017569 Receives reassigned benefits from 1 practitioner
Practice locations: West Orange, NJ

National Provider Directory

National Provider Directory

Locations

96 Millburn Ave
Ste 102
Millburn, NJ 07041
Phone (973) 486-0212

Practitioners & affiliated clinicians

Practitioners 2

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861543522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96-98 MILLBURN AVENUE",
            "address_2": "SUITE #102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411944",
            "telephone_number": "973-486-0212",
            "fax_number": "973-486-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96-98 MILLBURN AVENUE",
            "address_2": "SUITE #102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411944",
            "telephone_number": "973-486-0212",
            "fax_number": "973-486-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWC PT & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HOUSHMAND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-486-0212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.I.B.E."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00567300",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00459400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.