Raphael Sevilla

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

251 Clifton Ave
Clifton, NJ 07011-1961

Phone

(973) 340-7092

NPI assigned

Dec 1, 2020

Sex

Male

Sole proprietor

Yes

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

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Life Home Therapy LLCGroup PAC ID 1254746340, 50 clinicians

Attain Physical TherapyGroup PAC ID 6305272659, 68 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.

• Attain Physical Therapy

  • Physical Therapist
  • Shrewsbury, NJ
  • NPI 1609406438
  Medicare reassignment Care Compare group NPD
• Life Home Therapy LLC

  • Physical Therapist
  • Livingston, NJ
  • NPI 1467048777
  Medicare reassignment Care Compare group NPD
• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment Care Compare group
• Patient Care Specialty Group PC

  • Family Medicine Physician
  • Edison, NJ
  • NPI 1477213106

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1164027942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CARLSON PL",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070343102",
            "telephone_number": "973-803-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111961",
            "telephone_number": "973-340-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVILLA",
        "first_name": "RAPHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serv Centers of New Jersey, Inc
• Serv Centers of New Jersey, Inc
• Carrel Gonzales Sese Lavina, OTR/L
• Sessine Najjar MD LLC
• Jagdish Seth, M.D.
• Maria Sevillano
• Seymour W Thomas
• Anish Jayesh Shah, MD
• Dilip Amrytlal Shah, MD
• Hiten N Shah

• Physical Therapist in Clifton, NJ
• Providers in Clifton, 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 Dec 1, 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.