Active NPI
Ivana Kapetanovic, PT, DPT
- Physical Therapist
- Martinsville, NJ
National Provider Identifier
1003350356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 400QA01704600
- Practice address
- 1931 Washington Valley Rd
Martinsville, NJ 08836-2029 - Phone
- (732) 552-0275
- NPI assigned
- Dec 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 400QA01704600 | NJ | Primary |
Addresses
Primary practice location
1931 Washington Valley Rd
Martinsville, NJ 08836-2029
Mailing address
PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 400QA01704600 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1003350356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1014",
"city": "CLARK",
"state": "NJ",
"postal_code": "070661014",
"telephone_number": "732-855-9751",
"fax_number": "732-855-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 WASHINGTON VALLEY RD",
"city": "MARTINSVILLE",
"state": "NJ",
"postal_code": "088362029",
"telephone_number": "732-552-0275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPETANOVIC",
"first_name": "IVANA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-06",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "400QA01704600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.