Elysha Bembury

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02059900 Issued in NJ

Practice address

60 Walnut Ave Ste 180
Clark, NJ 07066-1647

Phone

(732) 340-1012

NPI assigned

Nov 23, 2021

Last updated

Nov 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Procare Rehabilitation, LLCGroup PAC ID 7214998038, 69 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Procare Rehabilitation, LLC

  • Specialist
  • Flemington, NJ
  • NPI 1134175730

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Synaptic Rehabilitation, LLC

  • Physical Therapist
  • Warren, NJ
  • NPI 1518514397
  Medicare reassignment NPD
• Synaptic Rehab Bridgewater

  • Physical Therapist
  • Bridgewater, NJ
  • NPI 1487460770
  NPD (past)

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1346907599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WALTER E FORAN BLVD STE 203",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224666",
            "telephone_number": "908-237-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WALNUT AVE STE 180",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661647",
            "telephone_number": "732-340-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEMBURY",
        "first_name": "ELYSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02059900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beam Eye Associates LLC (The Eye Center of Clark)
• Beams & Gilsenan D.O., PC
• Michael Elliot Beams, D.O.
• Emily Beasley, LMFT
• Joseph Jack Bellomo, MSOTR
• Kenneth Christian Benko, CADC
• Erin Meghan Bennett, LCSW
• Robert Joseph Bercik, MD
• Nicole Bethavas
• Upasana S Bhatt

• Physical Therapist in Clark, NJ
• Providers in Clark, 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 Nov 23, 2021; 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.