Individual provider Active NPI

Angela Yannacci, PT, MA, DPT

  • Physical Therapist
  • Tinton Falls, NJ
National Provider Identifier
1255426581
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00605900 Issued in NJ
Practice address
524 Wardell Rd
Tinton Falls, NJ 07753-7305
Phone
(732) 922-9330
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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 40QA00605900 NJ Primary

Addresses

Primary practice location

524 Wardell Rd
Tinton Falls, NJ 07753-7305

Mailing address

67 Maxim Rd
Howell, NJ 07731-8738
Phone (732) 751-1977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130827000085 NJ Practitioner - Physical Therapist in Private Practice 6204079098 Reassigns benefits to 3 organizations
I20240312003075 MD Practitioner - Physical Therapist in Private Practice 6204079098 Reassigns benefits to 1 organization
I20240312003640 DC Practitioner - Physical Therapist in Private Practice 6204079098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Eagle Rock Ave
East Hanover, NJ 07936-3167

132 Pearlcroft Rd
Cherry Hill, NJ 08034-3334

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000

7 Clyde Rd
Somerset, NJ 08873-5049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Feb 8, 2024 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Fox Rehab PT MD LLC Physical Therapist CurrentSince Feb 8, 2024 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Jul 18, 2017 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Jul 18, 2017 Accepting new patients
Ultima Rehab-NJ LLC PastSince Oct 1, 2018 Accepting new patients

Locations

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

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

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

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

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

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

7 Carnegie Plz
Cherry Hill, NJ 08003

279 3rd Ave
Ste 206
Long Branch, NJ 07740
Phone (732) 222-2121

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1255426581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MAXIM RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077318738",
            "telephone_number": "732-751-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 WARDELL RD",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537305",
            "telephone_number": "732-922-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNACCI",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PT, MA, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00605900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.