Edilene F Panlilio, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01201100 Issued in NJ

Practice address

190 S Vivyen St
Bergenfield, NJ 07621-2633

Phone

(646) 240-0130

NPI assigned

Jul 10, 2009

Sex

Female

Sole proprietor

Yes

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

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

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)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645
  Medicare reassignment Care Compare group NPD
• Bayshore Rehab Medicine, PC

  • Physical Medicine & Rehabilitation Physician
  • Holmdel, NJ
  • NPI 1033153135
  NPD (past)
• Hoboken Integrated Health Care LLC

  • Chiropractor
  • Morristown, NJ
  • NPI 1174719744

  Physical Therapist

  NPD (past)
• Jersey City Hands-on Physical Therapy and Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Jersey City, NJ
  • NPI 1225310378

  Physical Therapist

  NPD (past)
• Orthosports and Spine Physical Therapy PC

  • Physical Therapist
  • Ridgewood, NJ
  • NPI 1972817955
  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1093944126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S VIVYEN ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212633",
            "telephone_number": "646-240-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S VIVYEN ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212633",
            "telephone_number": "646-240-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANLILIO",
        "first_name": "EDILENE",
        "middle_name": "F",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01201100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optical Advantage PC
• Optimal Health Group, LLC
• Mabel Ore, RD
• James Earl Pagaduan, APN
• Michael S. Palance, O.D.
• James Park, DDS
• Pamela J Pater-Ennis, LCSW,M.DIV., PHD
• Pathmark Stores Inc
• Cherise Naime Paton
• Robert W Patterson, RRT

• Physical Therapist in Bergenfield, NJ
• Providers in Bergenfield, 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 Mar 17, 2016; 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.