Individual provider Active NPI

Gabriel Barbosa, DPT

  • Physical Therapist
  • Newark, NJ
National Provider Identifier
1366266181
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
280 Elm St
Newark, NJ 07105-2604
Phone
(862) 348-9515
Fax
(862) 437-4274
NPI assigned
Nov 8, 2024
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

280 Elm St
Newark, NJ 07105-2604

Mailing address

280 Elm St
Newark, NJ 07105-2604
Phone (862) 348-9515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929002996 NJ Practitioner - Physical Therapist in Private Practice 8628574779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

15 Nathaniel PL
Englewood, NJ 07631-2735
Phone (201) 731-8580

187 Millburn Ave
Millburn, NJ 07041-1847
Phone (973) 467-7976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Ironbound Physical Therapy & Wellness Physical Therapist CurrentSince Nov 10, 2024 Accepting new patients
Ironbound Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2026 Accepting new patients

Locations

187 Millburn Ave
Millburn, NJ 07041
Phone (973) 467-1466

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

280 Elm St
Newark, NJ 07105
Phone (862) 348-9515

39 E Front St
Red Bank, NJ 07701
Phone (732) 978-1500

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1366266181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 ELM ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052604",
            "telephone_number": "862-348-9515",
            "fax_number": "862-437-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 ELM ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052604",
            "telephone_number": "862-348-9515",
            "fax_number": "862-437-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOSA",
        "first_name": "GABRIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.