Organization Active NPI

Powered Up Physical Therapy LLC

  • Physical Therapist
  • Norwood, NJ
National Provider Identifier
1134975931
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
POWERED UP PHYSICAL THERAPY LLC
Practice address
55 Walnut Street
Unit 104, Suites D and E
Norwood, NJ 07648
Phone
(201) 477-8863
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Carley SchleienNPI 1962988378
Title
Managing Member
Phone
(786) 303-1001

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

55 Walnut Street
Unit 104, Suites D and E
Norwood, NJ 07648

Mailing address

570 Piermont Road
A-1 #176
Closter, NJ 07624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240605002524 NJ Part B Supplier - Clinic/Group Practice 3577005552 Receives reassigned benefits from 1 practitioner
Practice locations: Norwood, NJ

National Provider Directory

National Provider Directory

Locations

570 Piermont Rd
Ste A1
Closter, NJ 07624

55 Walnut St
Ste 104
Norwood, NJ 07648
Phone (201) 477-8863

Practitioners & affiliated clinicians

Practitioners 1

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": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1134975931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 PIERMONT ROAD",
            "address_2": "A-1 #176",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "07624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WALNUT STREET",
            "address_2": "UNIT 104, SUITES D AND E",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "07648",
            "telephone_number": "201-477-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERED UP PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "SCHLEIEN",
        "authorized_official_first_name": "CARLEY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "786-303-1001"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.