Individual provider Active NPI

Emily Rose Faller, PT, DPT

  • Physical Therapist
  • Belmar, NJ
National Provider Identifier
1386255990
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01927300 Issued in NJ
Practice address
104 5TH Ave Apt 20
Belmar, NJ 07719-2044
Phone
(732) 713-0376
NPI assigned
Aug 17, 2020
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 40QA01927300 NJ Primary

Addresses

Primary practice location

104 5TH Ave Apt 20
Belmar, NJ 07719-2044

Mailing address

104 5TH Ave Apt 20
Belmar, NJ 07719-2044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909001189 NJ Practitioner - Physical Therapist in Private Practice 2769800655 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians
United Sports Care and Physical TherapyGroup PAC ID 9436324886, 41 clinicians
Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians
Active Physical Therapy, LLCGroup PAC ID 8527232412, 2 clinicians

Practice addresses (Care Compare)

1131 Broad St
Suite 301
Shrewsbury, NJ 07702-4370
Phone (732) 440-1596

140 N Rte
17 Suite 272
Paramus, NJ 07652-2800
Phone (201) 261-4343

2444 Route 34 N
Suite a
Manasquan, NJ 08736-1818
Phone (732) 751-4470

2516 Hwy 35
Manasquan, NJ 08736-1925
Phone (732) 223-6309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Diagnostics Laboratory LLC CurrentSince Apr 23, 2023 Accepting new patients
Atlantic Physical Therapy Center CurrentSince Feb 12, 2026 Accepting new patients
Atlantic Physical Therapy Center Physical Therapist CurrentSince Feb 12, 2026 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Jun 23, 2025 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Jun 23, 2025 Accepting new patients
Active Physical Therapy, LLC Physical Therapist CurrentSince Apr 25, 2025 Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone 9738879000 ext. 317

2444 Route 34
Ste A
Manasquan, NJ 08736
Phone (732) 292-4680

2516 Route 35
Manasquan, NJ 08736
Phone (732) 223-0317

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

1131 Broad St
Ste 301
Shrewsbury, NJ 07702
Phone (732) 440-1596

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1386255990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 5TH AVE APT 20",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 5TH AVE APT 20",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192044",
            "telephone_number": "732-713-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLER",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01927300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmar, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.