Individual provider Active NPI

Adrian Correa

  • Physical Therapist
  • Cranford, NJ
National Provider Identifier
1053143446
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
210 North Ave E
Cranford, NJ 07016-2491
Phone
(908) 276-0237
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 NU Primary

Addresses

Primary practice location

210 North Ave E
Cranford, NJ 07016-2491

Mailing address

4 Pine St
Green Brook, NJ 08812-2312
Phone (908) 963-3029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828005119 NJ Practitioner - Physical Therapist in Private Practice 9335688779 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Medical Group of Hillsborough LLCGroup PAC ID 5597298596, 10 clinicians
Performance Medical Group of SomersetGroup PAC ID 0941612360, 23 clinicians
Performance Medical of Watchung LLCGroup PAC ID 8628312501, 22 clinicians

Practice addresses (Care Compare)

105 Raider Blvd
Suite 201
Hillsborough, NJ 08844-1528
Phone (908) 756-2424

454 Elizabeth Ave
Somerset, NJ 08873-5111
Phone 9087562424135

459 Watchung Ave
Watchung, NJ 07069-4945
Phone (908) 756-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Aug 15, 2024 Accepting new patients
Performance Medical Group of Branchburg LLC CurrentSince Mar 31, 2025 Accepting new patients
Performance Medical Group of Hillsborough LLC CurrentSince Mar 31, 2025 Accepting new patients
Performance Medical of Watchung LLC CurrentSince Mar 31, 2025 Accepting new patients
Performance Medical Group of Branchburg LLC CurrentSince Mar 31, 2025 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Aug 15, 2024 Accepting new patients
Performance Medical Group of Somerset CurrentSince Mar 31, 2025 Accepting new patients

Locations

3150 US Highway 22
Branchburg, NJ 08876
Phone (908) 552-0996

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

210 North Ave E
Cranford, NJ 07016
Phone (908) 272-6300

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

105 Raider Blvd
Ste 201
Hillsborough, NJ 08844

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 860-5757

10 Johnston Dr
Watchung, NJ 07069

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1053143446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PINE ST",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088122312",
            "telephone_number": "908-963-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162491",
            "telephone_number": "908-276-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.