Individual provider Active NPI

Brenda Monteleone, PT

  • Physical Therapist
  • Vineland, NJ
National Provider Identifier
1093723025
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00583900 Issued in NJ
Practice address
2630 E Chestnut Ave
Ste C5 Heartland Rehabilitation Services of New Jersey
Vineland, NJ 08361
Phone
(856) 692-1483
Fax
(856) 692-7423
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA00583900 NJ Primary

Addresses

Primary practice location

2630 E Chestnut Ave
Ste C5 Heartland Rehabilitation Services of New Jersey
Vineland, NJ 08361

Mailing address

444 Hermon Dr
Franklinville, NJ 08322
Phone (856) 262-9258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA00583900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093723025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 HERMON DR",
            "city": "FRANKLINVILLE",
            "state": "NJ",
            "postal_code": "08322",
            "telephone_number": "856-262-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 E CHESTNUT AVE",
            "address_2": "STE C5 HEARTLAND REHABILITATION SERVICES OF NEW JERSEY",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08361",
            "telephone_number": "856-692-1483",
            "fax_number": "856-692-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELEONE",
        "first_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00583900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.