Karen Ann Revelli, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01743000 Issued in NJ

Practice address

5758 Berkshire Valley Rd
Oak Ridge, NJ 07438-9847

Phone

(973) 697-3460

NPI assigned

Aug 10, 2017

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

Other names 1

• Karen Peterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1174048110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5758 BERKSHIRE VALLEY RD",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389847",
            "telephone_number": "973-697-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 BERKSHIRE VALLEY RD",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389847",
            "telephone_number": "973-697-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELLI",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01743000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PETERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nicholas Ransegnola, PT
• Susan Ransegnola, PT
• Buffy Leigh Reilly, NP
• Rem New Jersey, Inc.
• Melanie Ella Reynolds-Gibson, MSCCCSLP
• Gary Michael Ridner, OTR/L
• Joseph J Riesenman, M.D.
• Michael J Ryan, D.M.D.
• Thomas S Sacks, RPH

• Physical Therapist in Oak Ridge, NJ
• Providers in Oak Ridge, 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 Oct 11, 2022; 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.