# HOLMDEL PHYSICAL THERAPY AND SPORTS MEDICINE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003361494
- **Authorized official:** MATTHEW HOLTZER PT (OWNER)
- **Authorized official phone:** (646) 996-1009

## Contact information

- **Practice address:** 719 N BEERS ST, SUITE 2A, HOLMDEL, NJ 07733-1522
- **Practice address phone:** (646) 996-1009
- **Mailing address:** 719 N BEERS ST, SUITE 2A, HOLMDEL, NJ 07733-1522
- **Mailing address phone:** (646) 996-1009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01497200 | NY | Yes |

## Other

- **Enumeration date:** 08/16/2016
- **Last updated:** 08/16/2016