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TITAN PHYSICAL THERAPY
NPI 1255919684
Physical Therapist - Orthopedic in Fairfield, NJ

Active since March 29, 2021
461 US HIGHWAY 46, FAIRFIELD, NJ 07004(570) 606-5399 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2021, Mar 29, 2021 (2 updates tracked since 2021).

About Titan Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TITAN PHYSICAL THERAPY (NPI 1255919684) is a healthcare organization registered as an orthopedic in Fairfield, New Jersey and active in the NPI registry since March 2021. The organization lists Jonathan Mickulik, Physical Therapist, Owner, as its authorized official.

NPPES Registry Identity

NPI1255919684
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameTITAN PHYSICAL THERAPY TITAN PT
Location Address461 US HIGHWAY 46Fairfield, NJ 07004-1954
Mailing Address78 Harding AveTotowa, NJ 07512-2502 · (570) 606-5399
Phone(570) 606-5399
Organization SubpartNo
Authorized OfficialJonathan MickulikPhysical Therapist, Owner · (570) 606-5399
Enumeration DateMarch 29, 2021
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1255919684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
461 US HIGHWAY 46, Fairfield, NJ 07004
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Other Names 1

Doing Business AsTitan Physical Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERENITY WIG DESIGN LLC
Durable Medical Equipment & Medical Supplies
461 US HIGHWAY 46
FAIRFIELD, NJ 07004
Essex County (973) 668-8336
DR. JONATHAN MICKULIK DPT
Physical Therapist
461 US HIGHWAY 46
FAIRFIELD, NJ 07004
Essex County (570) 606-5399

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Titan Physical Therapy Titan Pt's NPI number?

The NPI number for Titan Physical Therapy Titan Pt is 1255919684. It was assigned to this organization in the NPPES registry on March 29, 2021. The provider is doing business as Titan Physical Therapy.

Where is Titan Physical Therapy Titan Pt located?

Titan Physical Therapy Titan Pt is located at 461 Us Highway 46, Fairfield, NJ 07004. The listed phone number is (570) 606-5399.

What is Titan Physical Therapy Titan Pt's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Titan Physical Therapy Titan Pt was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.