Individual provider Active NPI

Nisha Rele, PT, DPT

  • Physical Therapist
  • Warren, NJ
National Provider Identifier
1396474151
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02089500 Issued in NJ
Practice address
125 Washington Valley Rd
Warren, NJ 07059-7170
Phone
(908) 741-8404
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 40QA02089500 NJ Primary

Addresses

Primary practice location

125 Washington Valley Rd
Warren, NJ 07059-7170

Mailing address

1631 Larkspur Dr
Mountainside, NJ 07092-1346
Phone (908) 448-7048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220628002976 NJ Practitioner - Physical Therapist in Private Practice 5890174478 Reassigns benefits to 1 organization
I20231101003700 NY Practitioner - Physical Therapist in Private Practice 5890174478 Reassigns benefits to 1 organization

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
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

1071 Inman Ave
Unit 4
Edison, NJ 08820-1132
Phone (732) 518-8868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02089500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Sep 13, 2023 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Mar 22, 2024 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Mar 22, 2024 Accepting new patients

Locations

1071 Inman Ave
Unit 4
Edison, NJ 08820
Phone (732) 518-8868

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

1111 US Highway 22
Mountainside, NJ 07092
Phone (908) 389-9100

469 Morris Ave
Summit, NJ 07901
Phone (908) 731-6916

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1396474151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 LARKSPUR DR",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070921346",
            "telephone_number": "908-448-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WASHINGTON VALLEY RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070597170",
            "telephone_number": "908-741-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELE",
        "first_name": "NISHA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02089500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.