Active NPI
Frankie Goris, PT, DPT
- Physical Therapist
- Edgewater, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02023100
- Practice address
- 725 Riveroad
Edgewater, NJ 07020 - Phone
- (201) 941-2240
- NPI assigned
- Sep 8, 2021
- Last updated
- Sep 8, 2021
- 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 | 40QA02023100 | NJ | Primary |
Addresses
Primary practice location
725 Riveroad
Edgewater, NJ 07020
Mailing address
1353 15TH St
Fort Lee, NJ 07024-1914
Phone (201) 245-7895
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 River Rd
Suite 60
Edgewater, NJ 07020-1149
Phone (201) 941-2240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02023100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy & Sports Rehab Group of NJ, LLC | Physical Therapist | Current | Accepting new patients |
| Scerbo Physical Therapy & Sports Medicine Institute, LLC | Physical Therapist | Current | Accepting new patients |
Locations
725 River Rd
Ste 60
Edgewater, NJ 07020
Phone (201) 833-7213
25 S Van Brunt St
Englewood, NJ 07631
Phone (201) 408-4534
Organizations & group practices 2
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 Therapy Clinic/Center
- Edgewater, NJ
- NPI 1750401311
Physical Therapist
-
dba Vale Sports Rehabilitation & Physical Therapy
- Physical Therapist
- Englewood Cliffs, NJ
- NPI 1699423152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1356010888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 15TH ST",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070241914",
"telephone_number": "201-245-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 RIVEROAD",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "07020",
"telephone_number": "201-941-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORIS",
"first_name": "FRANKIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02023100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.