Active NPI
Stephanie Patullo
- Physical Therapist
- Hillsborough, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02340200
- Practice address
- 650 US Highway 206 Unit 115
Hillsborough, NJ 08844-1586 - Phone
- (908) 503-2774
- NPI assigned
- Dec 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02340200 | NJ | Primary |
Addresses
Primary practice location
650 US Highway 206 Unit 115
Hillsborough, NJ 08844-1586
Mailing address
25 Polhemus Dr
Hillsborough, NJ 08844-1808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260106003734 | NJ | Practitioner - Physical Therapist in Private Practice | 7719473040 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 US Hwy 206
Unit 115
Hillsborough, NJ 08844-1586
Phone (908) 866-2353
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02340200 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jag-One Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
650 US Highway 206
Unit 115
Hillsborough, NJ 08844
Phone (908) 503-2774
2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065
221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520
622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078
Organizations & group practices 1
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.
-
- Physical Therapist
- West Orange, NJ
- NPI 1518017144
NJ, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1295690261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 POLHEMUS DR",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088441808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 US HIGHWAY 206 UNIT 115",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088441586",
"telephone_number": "908-503-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATULLO",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-22",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02340200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsborough, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.