NPIMap

Organization Active NPI

Holsman Physical Therapy & Rehab of Ind LLC

  • Physical Therapist
  • Belleville, NJ
National Provider Identifier
1942822986
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOLSMAN PHYSICAL THERAPY & REHAB OF IND LLC
Practice address
710 Mill St Unit H3
Belleville, NJ 07109-5306
Phone
(855) 465-7626
Fax
(949) 655-8518
NPI assigned
May 13, 2020
Last updated
Jul 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Dr. Richard Holsman, PT, DPT, GCSNPI 1164648481
Title
President
Phone
(973) 393-5545

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

710 Mill St Unit H3
Belleville, NJ 07109-5306

Mailing address

710 Mill St Unit H3
Belleville, NJ 07109-5306
Phone (855) 465-7626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200806002482 IN Part B Supplier - Clinic/Group Practice 7214352327 Receives reassigned benefits from 10 practitioners
Practice locations: Jeffersonville, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1942822986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILL ST UNIT H3",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095306",
            "telephone_number": "855-465-7626",
            "fax_number": "949-655-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MILL ST UNIT H3",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095306",
            "telephone_number": "855-465-7626",
            "fax_number": "949-655-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLSMAN PHYSICAL THERAPY & REHAB OF IND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "HOLSMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-393-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, GCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "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 Jul 17, 2020; 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.