Juanito Medrano, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00869800 Issued in NJ

Practice address

13 Carnwath CT
Edison, NJ 08817-1949

Phone

(732) 549-1201

Fax

(732) 549-1201

NPI assigned

Mar 12, 2009

Last updated

Apr 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schick Chiropractic Center LLCGroup PAC ID 3072616663, 6 clinicians

Peak Wellness Center PCGroup PAC ID 6709385065, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Wellness Center PC

  • Family Nurse Practitioner
  • Somerset, NJ
  • NPI 1982498515

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Schick Chiropractic Center, LLC

  dba Highpoint Health Center

  • Medical Specialty Clinic/Center
  • Highland Park, NJ
  • NPI 1548321912

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Aaria Physical Therapy Inc

  dba Advanced Care Physical Therapy

  • Physical Therapy Clinic/Center
  • Edison, NJ
  • NPI 1841956356

  Physical Therapist

  Medicare reassignment NPD
• Core Spine & Wellness LLC

  • Chiropractor
  • East Brunswick, NJ
  • NPI 1194148981
  Medicare reassignment NPD
• Kiara Physical Therapy LLC

  dba Advanced Care Physical Therapy

  • Physical Therapy Clinic/Center
  • Milltown, NJ
  • NPI 1700396272

  Physical Therapist

  Medicare reassignment NPD
• Proform Physical Therapy LLC

  • Physical Therapist
  • Aberdeen, NJ
  • NPI 1073958351
  Medicare reassignment NPD
• Proform Physical Therapy LLC

  • Physical Therapist
  • Edison, NJ
  • NPI 1861047854
  NPD
• Krishna Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Milltown, NJ
  • NPI 1497532931
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1386885838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CARNWATH CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088171949",
            "telephone_number": "732-549-1201",
            "fax_number": "732-549-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CARNWATH CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088171949",
            "telephone_number": "732-549-1201",
            "fax_number": "732-549-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "JUANITO",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00869800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.