Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael S. Holmgren, PT, DPT

Individual provider Physical Therapist · NPI 1629093679

Michael S. Holmgren, PT, DPT is a Physical Therapist in Private Practice in Wayne, New Jersey. Qualified in 2008, 18 years ago. Practices with Sportscare of America, PC, a 132-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
18
Licensed in
NJ
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

48 Fieldstone Pl
Wayne, NJ 07470-6425
Phone: (201) 414-4085
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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 40QA01183200 (NJ)

Record details

NPI number1629093679
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESMay 9, 2019
Mailing address11 Eagle Rock Ave, Ste 201, East Hanover, NJ 07936-3167

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Sportscare Of America, Pc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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