Awc PT & Rehabilitation, LLC

Organization Active NPI Chiropractor · Millburn, NJ

NPI 1861543522 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1861543522
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
38MC00567300 (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
Organization subpart
No

Authorized official

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

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

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193200000X MULTI-SPECIALTY GROUP
111N00000X 38MC00567300 NJ Yes
Physical Therapist
Group: 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

Other providers in Millburn, NJ

All providers in Millburn, NJ · Chiropractor in New Jersey

Sources for this page

Verify at the official NPI Registry.