Joseph J. Petriello III, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01263200 Issued in NJ

Practice address

111 Union Ave Unit 4
East Rutherford, NJ 07073-2009

Phone

(201) 347-9459

Fax

(201) 623-2584

NPI assigned

Jan 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body Mechanix RehabilitationGroup PAC ID 3779953591, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Body Mechanix Rehabilitation

  • Physical Therapist
  • Rutherford, NJ
  • NPI 1366181406
  Medicare reassignment Care Compare group NPD Authorized official
• Professional Advantage Nutrition and Fitness, LLC

  • Registered Dietitian
  • East Rutherford, NJ
  • NPI 1134480528
  NPD

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1235315573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 FULTON ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032227",
            "telephone_number": "201-230-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 UNION AVE UNIT 4",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070732009",
            "telephone_number": "201-347-9459",
            "fax_number": "201-623-2584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Kearney Avenue",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "07305",
            "country_code": "US",
            "telephone_number": "201-360-2291",
            "fax_number": "201-623-2584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRIELLO",
        "first_name": "JOSEPH",
        "middle_name": "J.",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01263200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Patel, PHARMD
• PCLP, LLC
• William James Penney, LCSW
• Performance Physical Medicine
• Annairis Perkins
• Marta Petryna
• Point Medical Solutions LLC
• Marcela M Popa, MD
• Tomasz Popkowski, PTA
• Professional Advantage Nutrition and Fitness, LLC

• Physical Therapist in East Rutherford, NJ
• Providers in East Rutherford, 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 Dec 22, 2022; 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.