Organization Active NPI

Bella Physical Therapy PC

  • Physical Therapist
  • Rochelle Park, NJ
National Provider Identifier
1326096769
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00776000 Issued in NJ
Legal business name
BELLA PHYSICAL THERAPY PC
Practice address
218 Route 17 North Ste 304
Rochelle Park, NJ 07662-3399
Phone
(201) 791-0008
Fax
(201) 791-7111
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Mrs. Millana Sarnov
Title
Office Manager
Phone
(201) 791-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00776000 NJ Primary

Addresses

Primary practice location

218 Route 17 North Ste 304
Rochelle Park, NJ 07662-3399

Mailing address

1 Grover Ter
Fair Lawn, NJ 07410-4506
Phone (201) 791-0008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060406000029 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8527077338 Receives reassigned benefits from 7 practitioners
Practice locations: Rochelle Park, NJ

National Provider Directory

National Provider Directory
Tax ID family
Bella Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1326096769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GROVER TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104506",
            "telephone_number": "201-791-0008",
            "fax_number": "201-791-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 ROUTE 17 NORTH STE 304",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623399",
            "telephone_number": "201-791-0008",
            "fax_number": "201-791-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "SARNOV",
        "authorized_official_first_name": "MILLANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-791-0008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00776000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.