Active NPI
Carlo Atie
- Physical Therapist
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02221600
- Practice address
- 1172 Hamburg Tpke
Wayne, NJ 07470-5054 - Phone
- (862) 684-8380
- NPI assigned
- Nov 27, 2023
- Last updated
- Nov 27, 2023
- Sex
- Male
- 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 | 40QA02221600 | NJ | Primary |
Addresses
Primary practice location
1172 Hamburg Tpke
Wayne, NJ 07470-5054
Mailing address
227 Sylvan Rd
Bloomfield, NJ 07003-5525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Clifton Ave
Suite 101
Clifton, NJ 07013-3633
Phone (973) 400-3730
167 Newark Pompton Tpke
Suite 101
Pequannock, NJ 07440-1340
Phone (973) 987-3310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forward Motion Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Trinity Rehab Somerset PA | Physical Therapist | Current | Accepting new patients |
| Forward Motion PT, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1111 Clifton Ave
Ste 101
Clifton, NJ 07013
Phone (973) 400-3730
167 Newark Pompton Tpke
Ste 101
Pequannock, NJ 07440
Phone (973) 987-3310
328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701
1172 Hamburg Tpke
Wayne, NJ 07470
Phone (862) 684-8380
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.
-
- Physical Therapist
- Clifton, NJ
- NPI 1114157344
-
- Physical Therapy Clinic/Center
- Pequannock, NJ
- NPI 1568927028
Physical Therapist
-
- Physical Therapist
- Somerset, NJ
- NPI 1245789064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1346016847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 SYLVAN RD",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070035525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1172 HAMBURG TPKE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705054",
"telephone_number": "862-684-8380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATIE",
"first_name": "CARLO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02221600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.