Individual provider Active NPI

Alyssa Baletti, PT, DPT

  • Physical Therapist
  • Saddle Brook, NJ
National Provider Identifier
1255880324
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01645700 Issued in NJ
Practice address
300 Market St
Saddle Brook, NJ 07663-5309
Phone
(201) 368-6087
Fax
(201) 368-6075
NPI assigned
Sep 29, 2016
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 40QA01645700 NJ Primary

Addresses

Primary practice location

300 Market St
Saddle Brook, NJ 07663-5309

Mailing address

300 Market St
Saddle Brook, NJ 07663-5309
Phone (201) 368-6087

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110000162 NJ Practitioner - Physical Therapist in Private Practice 8921497157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adaptive Home Therapy, Inc.Group PAC ID 4284522772, 26 clinicians

Practice addresses (Care Compare)

3 Plaza Dr
Suite 12
Toms River, NJ 08757-3765
Phone (732) 886-6996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01645700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Current Rehabilitation Co LLC Physical Therapist CurrentSince Oct 13, 2021 Accepting new patients
Adaptive Home Therapy, Inc. Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
Anil K Gupta MD PA PastSince Jul 17, 2023 Accepting new patients

Locations

827 Belmar Plz
Belmar, NJ 07719
Phone (732) 802-4720

2 Main St
Ste 1
Bradley Beach, NJ 07720
Phone (732) 807-4702

3 Plaza Dr
Ste 12
Toms River, NJ 08757
Phone (732) 244-2299

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": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1255880324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635309",
            "telephone_number": "201-368-6087",
            "fax_number": "201-368-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635309",
            "telephone_number": "201-368-6087",
            "fax_number": "201-368-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALETTI",
        "first_name": "ALYSSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01645700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.