Schuyler McIlvaine, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01959000 Issued in NJ

Practice address

720 Ridge Rd
Lyndhurst, NJ 07071-3216

Phone

(201) 500-9812

NPI assigned

Nov 16, 2020

Sex

Female

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Well in Montclair, LLC 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Well in Montclair, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Montclair, NJ
  • NPI 1306507439

  NJ, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Holsman Physical and Occupational Therapy PC

  • Physical Therapist
  • Rahway, NJ
  • NPI 1659079069
  NPD

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1164024097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILL ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095318",
            "telephone_number": "973-393-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713216",
            "telephone_number": "201-500-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILVAINE",
        "first_name": "SCHUYLER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01959000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Martindale, MSW, LCSW
• Samuel X Martinez
• Ashley Rose Martins, OTR/L
• Roman Mazurov
• Gina Milee McHugh, NP
• Regina M McKenna, LCSW, LCADC
• Peter McMullen, LAC
• MDX Medical Inc.
• Meadowlands Chiropractic Center, P.a.
• Medical Service Professionals of NJ LLC

• All providers in Lyndhurst, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.