Active NPI
Pilates Advantage Physical Therapy
- Physical Therapy Clinic/Center
- Montclair, NJ
National Provider Identifier
1134856396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PILATES ADVANTAGE PHYSICAL THERAPY
- Practice address
- 39 S Fullerton Ave Ste 1
Montclair, NJ 07042-6303 - Phone
- (862) 622-6289
- NPI assigned
- Aug 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosanna Strelnick
- Title
- Manager
- Phone
- (201) 663-0961
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
39 S Fullerton Ave Ste 1
Montclair, NJ 07042-6303
Mailing address
39 S Fullerton Ave Ste 1
Montclair, NJ 07042-6303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881795532 | Other | NJ | NPI |
| 1619255569 | Other | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | drive.google.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231219001330 | NJ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2769832609 |
Receives reassigned benefits from 4 practitioners Practice locations: Montclair, NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Montclair, NJ
- NPI 1598214819
-
- Acupuncturist
- Montclair, NJ
- NPI 1043080260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685059200000",
"number": "1134856396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 S FULLERTON AVE STE 1",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070426303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 S FULLERTON AVE STE 1",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070426303",
"telephone_number": "862-622-6289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PILATES ADVANTAGE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-06",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A",
"authorized_official_last_name": "STRELNICK",
"authorized_official_first_name": "ROSANNA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "201-663-0961"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1881795532",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1619255569",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "drive.google.com",
"affiliation": "N",
"address_1": "39 S Fullerton Ave Ste 1",
"city": "Montclair",
"state": "NJ",
"country_code": "US",
"postal_code": "070426303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.