NPIMap

Organization Active NPI

Physical Therapy Associates of Wayne, Inc.

  • Physical Therapy Clinic/Center
  • Wayne, NJ
National Provider Identifier
1992870802
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00135400 Issued in NJ
Legal business name
PHYSICAL THERAPY ASSOCIATES OF WAYNE, INC.
Practice address
2025 Hamburg Tpke
Suite E
Wayne, NJ 07470-6260
Phone
(973) 835-2827
Fax
(973) 835-1856
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Edward Holterhoff, M.A., P.T.
Title
Owner
Phone
(973) 835-2827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00135400 NJ Primary

Addresses

Primary practice location

2025 Hamburg Tpke
Suite E
Wayne, NJ 07470-6260

Mailing address

81 Surrey Dr
Wayne, NJ 07470-5222
Phone (973) 835-2827

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992870802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SURREY DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705222",
            "telephone_number": "973-835-2827",
            "fax_number": "973-835-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HAMBURG TPKE",
            "address_2": "SUITE E",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706260",
            "telephone_number": "973-835-2827",
            "fax_number": "973-835-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOCIATES OF WAYNE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLTERHOFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-835-2827",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00135400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.