Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Paul Stark, PTDPT

Individual provider Physical Therapist · NPI 1114556602

Jonathan Paul Stark, PTDPT is a Physical Therapist in Private Practice in Sparta, New Jersey. Qualified in 2018, 8 years ago. Practices with Maximum Health Physical Therapy LLC, a 4-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

580 State Route 15
Sparta, NJ 07871-3483
Phone: (973) 862-4177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01802200 (NJ)

Record details

NPI number1114556602
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020
Mailing address38 Park St Apt 11d, Florham Park, NJ 07932-1736

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Maximum Health Physical Therapy Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sparta