Organization Active NPI

Montalbano Physical Therapy, PC

  • Physical Therapist
  • Teaneck, NJ
National Provider Identifier
1184758518
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00971900 Issued in NJ
Legal business name
MONTALBANO PHYSICAL THERAPY, PC
Practice address
407 Cedar LN
Teaneck, NJ 07666-1708
Phone
(201) 894-9900
Fax
(201) 894-9951
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert Patrick Montalbano, M.P.T.NPI 1720146715
Title
Owner
Phone
(201) 894-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA00971900 NJ Primary

Addresses

Primary practice location

407 Cedar LN
Teaneck, NJ 07666-1708

Mailing address

407 Cedar LN
Teaneck, NJ 07666-1708
Phone (201) 894-9900

Other practice location 1

2 Dean Dr
Lower Level
Tenafly, NJ 07670-2765
Phone (201) 894-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070613000081 NJ Part B Supplier - Clinic/Group Practice 7214035336 Receives reassigned benefits from 1 practitioner
Practice locations: Teaneck, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1184758518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661708",
            "telephone_number": "201-894-9900",
            "fax_number": "201-894-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661708",
            "telephone_number": "201-894-9900",
            "fax_number": "201-894-9951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Dean Dr",
            "address_2": "Lower Level",
            "address_purpose": "LOCATION",
            "city": "Tenafly",
            "state": "NJ",
            "postal_code": "076702765",
            "country_code": "US",
            "telephone_number": "201-894-9900",
            "fax_number": "201-894-9951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTALBANO PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "MONTALBANO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-894-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00971900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.