Individual provider Active NPI

Valerie Smith

  • Physical Therapist
  • East Hanover, NJ
National Provider Identifier
1235505900
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01613300 Issued in NJ
Practice address
11 Eagle Rock Ave
East Hanover, NJ 07936-3167
Phone
(973) 887-9000
NPI assigned
Aug 18, 2015
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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 40QA01613300 NJ Primary

Addresses

Primary practice location

11 Eagle Rock Ave
East Hanover, NJ 07936-3167

Mailing address

11 Eagle Rock Ave
East Hanover, NJ 07936-3167
Phone (973) 887-9000

Other names 1

  • Valerie Lanza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150922002511 NJ Practitioner - Physical Therapist in Private Practice 9335456409 Reassigns benefits to 3 organizations
I20260616001237 FL Practitioner - Physical Therapist in Private Practice 9335456409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Total Therapy Florida LLCGroup PAC ID 5395091722, 24 clinicians
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians
Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians
United Sports Care and Physical TherapyGroup PAC ID 9436324886, 41 clinicians

Practice addresses (Care Compare)

1499 E Venice Ave
Unit a
Venice, FL 34292-3207
Phone (941) 451-8657

178 E Hanover Ave
Suite 105
Cedar Knolls, NJ 07927-2038
Phone (973) 200-3740

197 Ridgedale Ave
Suite 155
Cedar Knolls, NJ 07927-2111
Phone (973) 605-5115

80 Oak Hill Rd
Red Bank, NJ 07701-5727
Phone (732) 784-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01613300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince May 9, 2025 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince May 9, 2025 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince May 3, 2018 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince May 3, 2018 Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

178 E Hanover Ave
Ste 105
Cedar Knolls, NJ 07927
Phone (215) 450-4239

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

197 Ridgedale Ave
Ste 155
Cedar Knolls, NJ 07927
Phone (973) 605-5115

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 877-9000

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

2444 Route 34
Ste A
Manasquan, NJ 08736
Phone (732) 292-4680

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

Organizations & group practices 6

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1235505900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VALERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01613300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "LANZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.