OrganizationActive
Innovative Physical Therapy and Wellness of Nj LLC
NPI 1417827908 · Physical Therapist · Woodbury Heights, NJ
Provider details
- NPI number
- 1417827908
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Willia Holland, Owner(302) 275-8670
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1006 Mantua Pike
Woodbury Heights, NJ 08097-1221
Phone: (443) 512-8337
Fax: (443) 327-5282
Street-level locationGet directions
Mailing address
111 Town Square Place
Jersey City, NJ 07310-1810
Registry dates
- Enumerated
- 2025-11-10
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.