Stephen Joseph Pittarelli, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00958200 Issued in NJ

Practice address

734 Newman'S Spring Rd
Lincroft, NJ 07738-1523

Phone

(732) 842-1680

Fax

(732) 842-1680

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • Sparta, NJ
  • NPI 1497545719
  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144434754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VIXEN PLACE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537684",
            "telephone_number": "732-922-1539",
            "fax_number": "732-842-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 NEWMAN'S SPRING RD",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381523",
            "telephone_number": "732-842-1680",
            "fax_number": "732-842-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTARELLI",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00958200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter John Owsianik, C.O.T.A./L
• Andrea Lyn Panaccione, RD
• Paramount Therapy Group
• Douglas A Peterson, DDS
• Gianna Carole Pianoforte, PT, DPT
• Pjo Orthopedic Supplies LLC
• Frank V. Porco, M.D.
• Marisa Priolo, PT, DPT
• Progressive Physical Rehabilitation
• Psyche Revive LLC

• Physical Therapist in Lincroft, NJ
• Providers in Lincroft, 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 Jul 8, 2007; 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.