Individual provider Active NPI

Jodi I Eisner, MSPT

  • Physical Therapist
  • West Caldwell, NJ
National Provider Identifier
1215145362
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00710700 Issued in NJ
Practice address
459 Passaic Ave
West Caldwell, NJ 07006-7457
Phone
(973) 267-7887
NPI assigned
May 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00710700 NJ Primary
Physical Therapist 225100000X 017057-1 NY

Addresses

Primary practice location

459 Passaic Ave
West Caldwell, NJ 07006-7457

Mailing address

61 Fieldcrest Rd
Parsippany, NJ 07054-2410
Phone (973) 515-1215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200407003069 NJ Practitioner - Physical Therapist in Private Practice 7618908195 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017057-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Care Specialty Group PC Physical Therapist CurrentSince Dec 18, 2024 Accepting new patients
Visiting Therapy Services LLC Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Prime Rehabilitation Services, Inc. Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients

Locations

26 Main St
Edison, NJ 08837
Phone (609) 385-2622

271 US Highway 46
Ste H111
Fairfield, NJ 07004
Phone (877) 887-3574

188 Newark Pompton Tpke
Little Falls, NJ 07424
Phone (877) 887-3574

905 State Route 10
Ste 1
Whippany, NJ 07981
Phone (973) 929-2729

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215145362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 FIELDCREST RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542410",
            "telephone_number": "973-515-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 PASSAIC AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067457",
            "telephone_number": "973-267-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISNER",
        "first_name": "JODI",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00710700",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017057-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.