Individual provider Active NPI

Lauren Giannetti, PT, DPT

  • Physical Therapist
  • Emerson, NJ
National Provider Identifier
1083287148
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01630900 Issued in NJ
Practice address
444 Kinderkamack Rd
Emerson, NJ 07630-1134
Phone
(201) 350-6300
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 40QA01630900 NJ Primary

Addresses

Primary practice location

444 Kinderkamack Rd
Emerson, NJ 07630-1134

Mailing address

55 Van Horn St
Demarest, NJ 07627
Phone (201) 403-3597

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810002656 NJ Practitioner - Physical Therapist in Private Practice 2961806138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
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)

211 Main St
New Milford, NJ 07646-1733
Phone (201) 483-9511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01630900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Jul 23, 2021 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist CurrentSince Jul 23, 2021 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Jul 25, 2021 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients

Locations

32 Piermont Rd
Cresskill, NJ 07626
Phone (201) 567-0044

444 Kinderkamack Rd
Emerson, NJ 07630
Phone (201) 350-6300

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

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

211 Main St
New Milford, NJ 07646
Phone (201) 483-9511

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

175 Route 37 W
#R
Toms River, NJ 08755

Organizations & group practices 5

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1083287148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 VAN HORN ST",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "07627",
            "telephone_number": "201-403-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 KINDERKAMACK RD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301134",
            "telephone_number": "201-350-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNETTI",
        "first_name": "LAUREN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01630900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.