Bryan Del Rio, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA09820 Issued in NJ

Practice address

100 Bauer Dr
Oakland, NJ 07436-3105

Phone

(201) 651-0121

Fax

(201) 651-0124

NPI assigned

Dec 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment Care Compare group NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013070408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAUER DR",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363105",
            "telephone_number": "201-651-0121",
            "fax_number": "201-651-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAUER DR",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363105",
            "telephone_number": "201-651-0121",
            "fax_number": "201-651-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL RIO",
        "first_name": "BRYAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA09820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colors of Play, LLC
• Edward Leo Connolly, PH.D.
• Charles S Corallo, D.C.
• Rebecca Crespo
• Kelli Anne De Rosa, M.A., BCBA
• Robert Saladaga Delagente, DO
• Meghan Deperi
• Ashley Rinaldi Dettra, MSN, RN, CCRN, NP-C
• Benjamin R Dispenziere, MD
• Elizabeth Bulosan Divinagracia, PHYSICAL THERAPIST

• Physical Therapist in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.