John P Siciliano, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00887200 Issued in NJ

Practice address

2510 Belmar Blvd
J1 J2
Wall, NJ 07719

Phone

(732) 681-1122

Fax

(732) 681-0999

NPI assigned

Aug 31, 2006

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

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Maximum Wellness Rehabilitation Center LLCGroup PAC ID 7214296029, 8 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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274

  NJ, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Maximum Wellness Rehabilitation Center LLC

  • Physical Therapist
  • Toms River, NJ
  • NPI 1285147017

  NJ

  Medicare reassignment Care Compare group
• Procare Rehabilitation, LLC

  • Specialist
  • Flemington, NJ
  • NPI 1134175730

  NJ, Physical Therapist

  Medicare reassignment NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  Care Compare group NPD
• Ivyrehab Network Inc

  • Physical Medicine & Rehabilitation Physician
  • Morristown, NJ
  • NPI 1083445092
  Care Compare group
• Ivyrehab Network Inc

  • Physical Therapist
  • Raritan, NJ
  • NPI 1497352041
  Care Compare group
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Denville, NJ
  • NPI 1124646617
  Care Compare group
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Westfield, NJ
  • NPI 1134859408
  Care Compare group
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Garwood, NJ
  • NPI 1497586416
  Care Compare group
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Manalapan, NJ
  • NPI 1609607621
  Care Compare group
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Monroe Township, NJ
  • NPI 1720703523
  Care Compare group
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Medford, NJ
  • NPI 1831717404
  Care Compare group

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1164533253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015914",
            "telephone_number": "201-488-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BELMAR BLVD",
            "address_2": "J1 J2",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "732-681-1122",
            "fax_number": "732-681-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICILIANO",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00887200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.