Healthcare Provider Details

I. General information

NPI: 1033540521
Provider Name (Legal Business Name): HOLSMAN ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2013
Last Update Date: 12/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 RT 3 WEST
CLIFTON NJ
07013-3928
US

IV. Provider business mailing address

710 MILL ST UNIT H3
BELLEVILLE NJ
07109-5318
US

V. Phone/Fax

Practice location:
  • Phone: 862-591-1000
  • Fax: 862-591-1005
Mailing address:
  • Phone: 862-591-1000
  • Fax: 862-591-1005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. RICHARD S HOLSMAN
Title or Position: PRESIDENT AND CEO
Credential: PT, DPT, MAT, GCS
Phone: 973-759-1494