Organization Active NPI

Pilates Advantage Physical Therapy

  • Physical Therapy Clinic/Center
  • Montclair, NJ
National Provider Identifier
1134856396
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on May 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosanna StrelnickNPI 1598214819
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1881795532OtherNJNPI
1619255569OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drive.google.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.