Individual provider Active NPI

Eugene Ryan Reyes Landingin, PT

  • Physical Therapist
  • Belleville, NJ
National Provider Identifier
1942539267
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01371300 Issued in NJ
Practice address
1616 Hamilton St
Belleville, NJ 07109-5346
Phone
(630) 398-1430
Fax
(205) 520-0455
NPI assigned
Dec 15, 2009
Last updated
Jan 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070017123 IL
Physical Therapist 225100000X 9701978 NY
Physical Therapist 225100000X 40QA01371300 NJ Primary
Physical Therapist 225100000X 008642 CT

Addresses

Primary practice location

1616 Hamilton St
Belleville, NJ 07109-5346

Mailing address

1616 Hamilton St
Belleville, NJ 07109-5346
Phone (630) 398-1430

Other practice location 1

505 College Ave
Ottawa, IL 61350-3865
Phone (800) 854-4589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200319002549 NJ Practitioner - Physical Therapist in Private Practice 0941638217 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008642CTMDPhysical Therapist
070017123ILMDPhysical Therapist
9701978NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Therapy LLC Physical Therapist CurrentSince Feb 2, 2021 Accepting new patients
Holsman Physical Therapy and Wellness PC CurrentSince Feb 28, 2020 Accepting new patients
Holsman Physical and Occupational Therapy, PC CurrentSince Feb 28, 2020 Accepting new patients
North Jersey Physical Therapy & Wellness Center LLC Physical Therapist CurrentSince Sep 5, 2020 Accepting new patients
Holsman Physical and Occupational Therapy PC Physical Therapist CurrentSince Feb 28, 2020 Accepting new patients

Locations

378 Bloomfield Ave
Caldwell, NJ 07006
Phone (973) 968-6002

408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

1373 Broad St
Ste 301
Clifton, NJ 07013
Phone (201) 905-1011

15-01 Broadway
Ste 12
Fair Lawn, NJ 07410
Phone (201) 355-5199

361 Montgomery St
Ste 1
Jersey City, NJ 07302
Phone (201) 932-2656

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

Organizations & group practices 5

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": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1942539267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 HAMILTON ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095346",
            "telephone_number": "630-398-1430",
            "fax_number": "205-520-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 HAMILTON ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095346",
            "telephone_number": "630-398-1430",
            "fax_number": "205-520-0455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 College Ave",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "IL",
            "postal_code": "613503865",
            "country_code": "US",
            "telephone_number": "800-854-4589",
            "fax_number": "205-520-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDINGIN",
        "first_name": "EUGENE RYAN",
        "middle_name": "REYES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017123",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "9701978",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01371300",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.