Elysha Bembury
Individual provider Active NPI Physical Therapist · Clark, NJ
NPI 1346907599 · NPPES record last updated Nov 23, 2021
Key facts
- NPI
- 1346907599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA02059900 (NJ)
- Practice address
- 60 Walnut Ave Ste 180
Clark, NJ 07066-1647 - Phone
- (732) 340-1012
- NPI assigned
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Procare Rehabilitation, LLC
Practice addresses (Care Compare)
60 Walnut Ave
Suite 180
Clark, NJ 07066-1647
Phone (732) 340-1012
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211222002082 | NJ | Practitioner - Physical Therapist in Private Practice | 8022409291 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02059900 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synaptic Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Procare Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Synaptic Rehab Bridgewater | Physical Therapist | Past |
Accepting new patients |
Locations
60 Walnut Ave
Ste 180
Clark, NJ 07066
Phone (732) 340-1012
4 Walter E Foran Blvd
Flemington, NJ 08822
Phone 9082370000 ext. 90823
4 Walter E Foran Blvd
Ste 203
Flemington, NJ 08822
Phone (732) 340-1012
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02059900 | NJ | Yes |
Addresses
Primary practice location
60 Walnut Ave Ste 180
Clark, NJ 07066-1647
Mailing address
4 Walter E Foran Blvd Ste 203
Flemington, NJ 08822-4666
Phone (908) 237-0000
Other providers in Clark, NJ
- Beam Eye Associates LLC
- Beams & Gilsenan D.O., PC
- Michael Elliot Beams
- Emily Beasley
- Joseph Jack Bellomo
- Kenneth Christian Benko
- Erin Meghan Bennett
- Robert Joseph Bercik
- Nicole Bethavas
- Upasana S Bhatt
All providers in Clark, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.