Organization Active NPI

Avel PT Services

  • Physical Therapy Clinic/Center
  • Bayonne, NJ
National Provider Identifier
1306448071
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AVEL PT SERVICES
Practice address
449 Avenue C
Bayonne, NJ 07002-5105
Phone
(732) 485-2876
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Dr. Alex Velednitskiy, PT, DPT, CSCS,CEASNPI 1538444849
Title
Owner
Phone
(201) 455-7858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

449 Avenue C
Bayonne, NJ 07002-5105

Mailing address

449 Avenue C
Bayonne, NJ 07002-5105
Phone (201) 455-7858

Other names 1

  • Rebuild Pt and Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Phone Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124003094 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3173934031 Receives reassigned benefits from 1 practitioner
Practice locations: Bayonne, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1306448071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025105",
            "telephone_number": "201-455-7858",
            "fax_number": "201-243-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025105",
            "telephone_number": "732-485-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEL PT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "VELEDNITSKIY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-455-7858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CSCS,CEAS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Phone",
            "affiliation": "N",
            "endpointDescription": "Address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Address",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address",
            "address_1": "449 Avenue C",
            "city": "Bayonne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070025105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rebuild Pt and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rebuild Pt and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.