Bergenfield Physical Therapy & Rehab Center LLC
Organization Active NPI Physical Therapy Clinic/Center · Bergenfield, NJ
NPI 1366093973 · NPPES record last updated Jan 8, 2020
Key facts
- NPI
- 1366093973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- BERGENFIELD PHYSICAL THERAPY & REHAB CENTER LLC
- Practice address
- 253 S Washington Ave Ste 1a
Bergenfield, NJ 07621-3739 - Phone
- (201) 338-4053
- NPI assigned
- Sep 25, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Shalin B. Patel, DC
- Title
- Owner
- Phone
- (516) 708-3182
Practitioners 32
-
Kayla Ann Aversa, D.C.
-
Junseop Kim, DC
-
Kevin Leithauser, PT, DPT
-
Ian David Thomson, D.C.
-
Melissa Alexandra Curtin, OTR/L
-
Batya Feman, OTR
-
Ben Boonstra, OTR/L
-
Dewang Chauhan, PT, DPT
-
Anthony Carmen Distano, D.C.
-
Paul Vincent Fragante Jr., PT, DPT
-
Allan V. Isip, PT, DPT
-
Rafael Aaron Marinelli, PT, DPT, L.A.C.
-
Nagyla Obien, DPT
-
Mahesh Patel, D.C.
-
Sabri Patel, OT
-
Pooja Ragha, OTR/L
-
Neetu Saini, PT
-
Chelsea Grace Sakdalan, OTR/L
-
Tyron R Thompson, DC
-
Stephany Marie Torres, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200108000687 | NJ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6709211394 |
Receives reassigned benefits from 32 practitioners Practice locations: Bergenfield, NJ |
National Provider Directory
Locations
253 S Washington Ave
Ste 1A
Bergenfield, NJ 07621
Phone (201) 338-4053
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | |||
| Physical Therapist |
225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
253 S Washington Ave Ste 1a
Bergenfield, NJ 07621-3739
Mailing address
253 S Washington Ave Ste 1a
Bergenfield, NJ 07621-3739
Phone (201) 338-4053
Other names
- Bergenfield Physical Therapy & Rehab Center
Other providers in Bergenfield, NJ
- Bergenfield Internal Medicine, L.L.C.
- Bergenfield Medical Arts, PA
- Bergenfield Medical Clinic Inc
- Bergenfield Oral Surgery Associates LLC
- Bergenfield Orthodontics
- Bergenfield Physical Therapy and Rehabilitation, Inc
- Bergenfield Surgical Center LLC
- Bergenfield Women'S Health LLC
- Alisa Besdin Goldberger
- Betances SLP PC
All providers in Bergenfield, NJ · Physical Therapy Clinic/Center 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 Jan 8, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.