Individual provider Active NPI

Michael Gaeta, PT, DPT, CSCS

  • Physical Therapist
  • Cranford, NJ
National Provider Identifier
1215486758
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01674400 Issued in NJ
Practice address
120 S Union Ave
Cranford, NJ 07016-2853
Phone
(908) 377-4928
NPI assigned
Sep 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01674400 NJ Primary

Addresses

Primary practice location

120 S Union Ave
Cranford, NJ 07016-2853

Mailing address

120 S Union Ave
Cranford, NJ 07016-2853
Phone (908) 377-4928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01674400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Sports Medicine of Monroe, LLC CurrentSince Oct 10, 2016 Accepting new patients
Parabolic Performance & Rehabilitation Little Falls LLC Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients
Parabolic Performance & Rehabilitation Hackensack, LLC Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients
Parabolic Performance & Rehab, LLC CurrentSince Jan 9, 2023 Accepting new patients

Locations

111 Midtown Brg Approac
Fl 2
Hackensack, NJ 07601
Phone (973) 744-2770

1 Hall Dr
Little Falls, NJ 07424
Phone (973) 509-9800

239 Prospect Plains Rd
Ste A101
Monroe Township, NJ 08831
Phone (732) 521-9222

350 Forsgate Dr
Ste 102
Monroe Twp, NJ 08831
Phone (732) 521-9222

15 Bloomfield Ave
Montclair, NJ 07042
Phone (973) 477-2770

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1215486758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S UNION AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162853",
            "telephone_number": "908-377-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S UNION AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162853",
            "telephone_number": "908-377-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAETA",
        "first_name": "MICHAEL",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01674400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.