Individual provider Active NPI

Myla Yuzon Belmonte, P.T.

  • Physical Therapist
  • Belleville, NJ
National Provider Identifier
1184905085
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01470300 Issued in NJ
Practice address
28 Beverly CT
Belleville, NJ 07109-2115
Phone
(347) 832-7600
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 031264-1 NY
Physical Therapist 225100000X 40QA01470300 NJ Primary

Addresses

Primary practice location

28 Beverly CT
Belleville, NJ 07109-2115

Mailing address

8706 58TH Ave
Elmhurst, NY 11373-4821
Phone (347) 832-7600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140605001237 NJ Practitioner - Physical Therapist in Private Practice 2769614726 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exemplary Home Therapy Services LLCGroup PAC ID 0840658084, 20 clinicians
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

1616 Hamilton St
Belleville, NJ 07109-5346
Phone (856) 506-6281

211 Berdan Ave
Wayne, NJ 07470-3236
Phone (201) 249-6930

218 Bloomfield Ave
Bloomfield, NJ 07003-5741
Phone (973) 750-0880

266 Harristown Rd
Suite 200
Glen Rock, NJ 07452-3354
Phone (201) 445-7000

325 Claremont Ave
Unit 34
Montclair, NJ 07042-2218
Phone (201) 345-6173

44 State RT
23 Suite 9
Riverdale, NJ 07457-1603
Phone (973) 457-8323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031264NYMDMassage Therapist
031264-1NYMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Home Therapy Services LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Exemplary Home Therapy Services LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Sportsmed PT LLC Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients
Midtown Family Chiropractic Center PC Physical Therapy CurrentSince Dec 6, 2013 Accepting new patients

Locations

1233 Main Ave
Clifton, NJ 07011
Phone (973) 595-6444

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1184905085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8706 58TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734821",
            "telephone_number": "347-832-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BEVERLY CT",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092115",
            "telephone_number": "347-832-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELMONTE",
        "first_name": "MYLA",
        "middle_name": "YUZON",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "031264-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01470300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.