Individual provider Active NPI

Rocco Pantina, DPT

  • Physical Therapist
  • Old Bridge, NJ
National Provider Identifier
1386367415
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02129300 Issued in NJ
Practice address
300 Perrine Rd Ste 315
Old Bridge, NJ 08857-3628
Phone
(732) 838-9855
NPI assigned
Sep 23, 2022
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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 40QA02129300 NJ Primary

Addresses

Primary practice location

300 Perrine Rd Ste 315
Old Bridge, NJ 08857-3628

Mailing address

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837

Other identifiers 1

IdentifierTypeStateIssuer
4OQA02129300OtherNJLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221014001846 NJ Practitioner - Physical Therapist in Private Practice 1254707391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Be Healthy LLCGroup PAC ID 1951796622, 94 clinicians

Practice addresses (Care Compare)

300 Perrine Rd
Old Bridge, NJ 08857-3627
Phone (732) 724-2596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02129300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Be Healthy LLC Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
All Be Healthy LLC Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
Old Bridge Spine & Wellness Center,PA Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients

Locations

1455 Broad St
Ste 250
Bloomfield, NJ 07003
Phone (201) 817-6982

150 Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

150A Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

2-22 Banta Pl
Fair Lawn, NJ 07410
Phone (201) 509-8600

210 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 333-6322

144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895

300 Perrine Rd
Ste 305
Old Bridge, NJ 08857
Phone (732) 316-5895

300 Perrine Rd
Ste 315
Old Bridge, NJ 08857
Phone (732) 264-8282

765 Route 10
Ste 101
Randolph, NJ 07869
Phone (973) 983-3709

1311 Morris Ave
Union, NJ 07083
Phone (908) 686-8446

Organizations & group practices 3

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": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1386367415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERRINE RD STE 315",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573628",
            "telephone_number": "732-838-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTINA",
        "first_name": "ROCCO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-23",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02129300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4OQA02129300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.