Individual provider Active NPI

Siovanna Rosas Boyle, PT

  • Physical Therapist
  • Mahwah, NJ
National Provider Identifier
1376872846
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01066100 Issued in NJ
Practice address
195 Franklin Tpke Ste 9
Mahwah, NJ 07430-1364
Phone
(201) 828-9290
NPI assigned
Dec 13, 2009
Last updated
May 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2014

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 40QA01066100 NJ Primary

Addresses

Primary practice location

195 Franklin Tpke Ste 9
Mahwah, NJ 07430-1364

Mailing address

195 Franklin Tpke Ste 9
Mahwah, NJ 07430-1364
Phone (201) 828-9290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100423000365 NJ Practitioner - Physical Therapist in Private Practice 3072640903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

28 -32 Van Orden PL
Hackensack, NJ 07601-6011
Phone (201) 621-0300

Merit-based Incentive Payment System (MIPS)

Final score
84.52 of 100Reported as group
Quality
94.89
Improvement activities
40
Cost
55.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Hand and Physical Therapy, P.C. Physical Therapist CurrentSince Jul 8, 2022 Accepting new patients
Alliance Hand and Physical Therapy, P.C. CurrentSince Jul 8, 2022 Accepting new patients
Mahwah Health Services Physical Therapist PastSince Jan 9, 2010 Accepting new patients

Locations

28-32 Van Orden Pl
Hackensack, NJ 07601
Phone (201) 621-0300

Organizations & group practices 4

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": "1260662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1376872846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FRANKLIN TPKE STE 9",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301364",
            "telephone_number": "201-828-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FRANKLIN TPKE STE 9",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301364",
            "telephone_number": "201-828-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "SIOVANNA",
        "middle_name": "ROSAS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-13",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01066100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.