Brendan Lauria, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02050000 Issued in NJ

Practice address

341 Railroad Ave
East Rutherford, NJ 07073-1717

Phone

(201) 438-7189

Fax

(201) 438-7174

NPI assigned

Oct 4, 2021

Last updated

Oct 14, 2021By 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, HI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hawaiian Rehabilitation Services IncGroup PAC ID 5799811345, 10 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.

• Hawaiian Rehabilitation Services Inc

  • Rehabilitation Clinic/Center
  • Kailua Kona, HI
  • NPI 1518935162

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Raising the Bar Rehabilitation and Fitness LLC

  • Physical Therapist
  • East Rutherford, NJ
  • NPI 1821396441
  Medicare reassignment NPD
• Professional Advantage Nutrition and Fitness, LLC

  • Registered Dietitian
  • East Rutherford, NJ
  • NPI 1134480528
  NPD

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1053083444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 RAILROAD AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 RAILROAD AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731717",
            "telephone_number": "201-438-7189",
            "fax_number": "201-438-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIA",
        "first_name": "BRENDAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02050000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Ayala Klavan, PT, DPT
• Siara Nicole Kolpon, PHYSICIAN ASSITANT
• Lauren Kravitz, ATC
• Julia Kulesa, CPHT
• Jordan Lau, DC
• Peter Joseph Lazaris, DPT
• Seokjae D Lim, O.D.
• Jonathan Lin, PT, DPT, ATC, CSCS
• Rachel Long, L.C.S.W.
• Federico Juan Lucas, LPC

• Physical Therapist in East Rutherford, NJ
• Providers in East Rutherford, 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 Oct 14, 2021; 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.