Individual provider Active NPI

Caryn Binder-Bregman, PT

  • Physical Therapist
  • Montclair, NJ
National Provider Identifier
1144355504
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01365400 Issued in NJ
Practice address
734 Valley Rd Ste 102
Montclair, NJ 07043-1522
Phone
(973) 707-7944
Fax
(973) 707-7541
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01365400 NJ Primary
Orthopedic Physical Therapist 2251X0800X 024549-1 NY

Addresses

Primary practice location

734 Valley Rd Ste 102
Montclair, NJ 07043-1522

Mailing address

734 Valley Rd Ste 102
Montclair, NJ 07043-1522
Phone (973) 707-7944

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01365400NJMDPhysical Therapist
024549-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Physical Therapy Arts and Wellness 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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1144355504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 VALLEY RD STE 102",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431522",
            "telephone_number": "973-707-7944",
            "fax_number": "973-707-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 VALLEY RD STE 102",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431522",
            "telephone_number": "973-707-7944",
            "fax_number": "973-707-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINDER-BREGMAN",
        "first_name": "CARYN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01365400",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "024549-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 14, 2016; 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.