TRAVIS L REITER (NPI# 1659631570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659631570 |
Entity Type | Individual |
Full Name | TRAVIS L REITER |
Credential | DPT |
Practice Address |
104 Chestnut St Ridgewood NJ 07450-2502 |
Mailing Address |
425 Goffle Rd Wyckoff NJ 07481-3003 |
Practice Telephone | 2014938111 |
Mailing Telephone | 7856339589 |
Enumeration Date | 2012-05-24 |
Last Update Date | 2017-08-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | 032107 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA01343300 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
104 CHESTNUT ST |
City | RIDGEWOOD |
State | NJ |
Zip Code | 07450-2502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992271829 | Margaret K Ortlieb | Physical Therapist | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2018-10-18 |
1356776991 | Jessica Leigh Grimm | Clinic/Center | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2013-09-12 |
1912192055 | Traci Marie O'hara | Physical Therapist | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2007-09-12 |
1275692824 | Kim R Minervini | Physical Therapist | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2006-12-08 |
1548340052 | Ridgewood Physical Therapy and Rehabilitation Center Inc. | Clinic/Center | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2006-10-17 |
1144259425 | Mark David Kirschenbaum | Internal Medicine | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2006-06-30 |
1881674653 | Julia J Freeman | Nurse Practitioner | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2006-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
Find all providers in zip 07450 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841517869 | Emil Berengut | Physical Therapist | 7406 64th Ln, #3, Ridgewood, NY 11385-6133 | 2010-04-29 |
1992271829 | Margaret K Ortlieb | Physical Therapist | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2018-10-18 |
1912192055 | Traci Marie O'hara | Physical Therapist | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2007-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508467424 | Brittany Kranson | Physical Therapist | 1873 Route 70 E Ste 1, Cherry Hill, NJ 08003-2034 | 2020-11-06 |
1053926386 | Natalia Ochalski | Physical Therapist | 570 South Avenue E, Bldg G, Suite C, Cranford, NJ 07016 | 2020-09-14 |
1871104463 | Katja Zeisler | Physical Therapist | 395 Grand St Fl 3, Jersey City, NJ 07302-4238 | 2020-08-16 |
1760007256 | Strongholistics, LLC | Physical Therapist | 105 Grove St Ste 14, Montclair, NJ 07042-4053 | 2020-06-10 |
1255951877 | Physiopros Physical Therapy & Wellness | Physical Therapist | 49 Overlook Rd, Morristown, NJ 07960-5805 | 2020-04-23 |
1730715038 | Sabrina Casares | Physical Therapist | 770 Lighthouse Dr Unit 170, Barnegat, NJ 08005-2373 | 2020-03-18 |
1750912820 | Brianna Carri, Pt, Dpt LLC | Physical Therapist | 32 Deanna Dr Apt 66, Hillsborough, NJ 08844-4851 | 2020-01-28 |
1265071187 | Ashley Mak Performance and Rehabilitation, PC | Physical Therapist | 1320 Adams St Ste B, Hoboken, NJ 07030-2370 | 2019-12-23 |
1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.