NPIMap

Innovative Physical Therapy and Fitness Center Inc

A Medicare group practice based in Kendall Park, NJ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1456504331), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456504331The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Independently-Practicing Physical Therapist, Part B Supplier - Clinic/Group Practice
Enrolled in
NJ
Enrollments
3
Group size
14 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20121228000153 NJ Part B Supplier - Clinic/Group Practice 1740548742
O20220407000198 NJ DME Supplier - Independently-Practicing Physical Therapist 1184205072
O20220128001374 NJ DME Supplier - Independently-Practicing Physical Therapist 1740548742

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (14).

Sources for this page