Eric W Stivers, PT,DPT,OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01324200 Issued in NJ

Practice address

321 Changebridge Rd
Pine Brook, NJ 07058-9583

Phone

(973) 396-8585

Fax

(973) 396-8587

NPI assigned

Sep 1, 2009

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mile High Physical Therapy Professional CorporationGroup PAC ID 7911257597, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mile High Physical Therapy Professional Corporation

  • Physical Therapist
  • Pine Brook, NJ
  • NPI 1730665662
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1982837423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070580684",
            "telephone_number": "973-396-8585",
            "fax_number": "973-396-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 CHANGEBRIDGE RD",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589583",
            "telephone_number": "973-396-8585",
            "fax_number": "973-396-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVERS",
        "first_name": "ERIC",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PT,DPT,OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01324200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siparadigm LLC
• Brian Solinsky
• Julie Solinsky, D.C.
• Janelle Sous, CCC-SLP
• Special Homes of New Jersey
• Thomas William Sudol, DDS
• Sweet Angels Home Care
• Reema Tajdar
• Cynthia Thomas, MS CCC-SLP
• Rebecca Thomas, SLP

• Physical Therapist in Pine Brook, NJ
• Providers in Pine Brook, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.