Individual provider Active NPI

Elizabeth Mancini, DPT

  • Physical Therapist
  • Weehawken, NJ
National Provider Identifier
1023660537
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01866800 Issued in NJ
Practice address
500 Ave at Port Imperial Blvd Ste 110
Weehawken, NJ 07086-6960
Phone
(201) 272-9400
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01866800 NJ Primary

Addresses

Primary practice location

500 Ave at Port Imperial Blvd Ste 110
Weehawken, NJ 07086-6960

Mailing address

500 Ave at Port Imperial Blvd Ste 110
Weehawken, NJ 07086-6960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191115001630 NJ Practitioner - Physical Therapist in Private Practice 9931531795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

1550 Lemoine Ave
Suite 101
Fort Lee, NJ 07024-5608
Phone (551) 325-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01866800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT LLC Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients
Ihealth Physical Therapy Inc Physical Therapist CurrentSince Jul 6, 2024 Accepting new patients
Port Imperial Therapy Group LLC Physical Therapist CurrentSince Jul 25, 2019 Accepting new patients

Locations

1550 Lemoine Ave
Ste 101
Fort Lee, NJ 07024
Phone (201) 647-6871

60 Court St
Ste 1
Hackensack, NJ 07601
Phone (201) 270-6233

19 E Main St
Ste 2
Mendham, NJ 07945
Phone (201) 270-6233

500 Ave At Port Imperial Blvd
Ste 110
Weehawken, NJ 07086
Phone (201) 272-9400

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1023660537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AVE AT PORT IMPERIAL BLVD STE 110",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVE AT PORT IMPERIAL BLVD STE 110",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866960",
            "telephone_number": "201-272-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01866800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weehawken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.