Philip Salvatore Pesce, MS.PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01278900 Issued in NJ

Practice address

25 Mountainview Blvd Ste 207
Basking Ridge, NJ 07920-3453

Phone

(908) 758-1006

Fax

(908) 360-0511

NPI assigned

Apr 24, 2008

Last updated

May 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverwalk Physical Therapy Bernardsville LLCGroup PAC ID 4587012182, 5 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverwalk Physical Therapy Bernardsville LLC

  • Physical Therapist
  • Bernardsville, NJ
  • NPI 1538945472

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Riverwalk Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Basking Ridge, NJ
  • NPI 1750681201

  Single Specialty

  Medicare reassignment NPD Authorized official
• Riverwalk Physical Therapy at Raritan LLC

  • Physical Therapy Clinic/Center
  • Raritan, NJ
  • NPI 1215550744
  Medicare reassignment Authorized official
• Northeast Spine & Wellness Center LLC

  • Specialist
  • Clark, NJ
  • NPI 1588798409

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1275708943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MOUNTAINVIEW BLVD STE 207",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203453",
            "telephone_number": "908-758-1006",
            "fax_number": "908-360-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MOUNTAINVIEW BLVD STE 207",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203453",
            "telephone_number": "908-758-1006",
            "fax_number": "908-360-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCE",
        "first_name": "PHILIP",
        "middle_name": "SALVATORE",
        "name_prefix": "Mr.",
        "credential": "MS.PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01278900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE LICENSE",
            "identifier": "40QA01278900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Peck, LCSW
• Deborah Eline Penner Smith, MSW
• Lisa Pensabene
• Mariana S Peralta
• Karen M. Perialis, RN, MSN, ANP -C
• Peter T. Orlic, M.D., P.a.
• Physis Physical Therapy of New Jersey Inc
• Jill Pila
• Clare Pisapia, BCBA
• Pizzale and Pizzale D.M.D, LLC

• Physical Therapist in Basking Ridge, NJ
• Providers in Basking Ridge, 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 May 26, 2020; 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.