Individual provider Active NPI

Rosemarie Plenos

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1407104433
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40QA00961300 Issued in NJ
Practice address
575 Grove St Unit C9
Clifton, NJ 07013-3175
Phone
(973) 652-7796
NPI assigned
Aug 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 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 PT40QA00961300 NJ Primary

Addresses

Primary practice location

575 Grove St Unit C9
Clifton, NJ 07013-3175

Mailing address

575 Grove St
Unit C9
Clifton, NJ 07013-3173
Phone (973) 652-7796

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120911000506 NJ Practitioner - Physical Therapist in Private Practice 1254589542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40QA00961300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exemplary Home Therapy Services LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Functional Home Therapy Services LLC Physical Therapist PastSince Aug 8, 2021 Accepting new patients

Organizations & group practices 2

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": "1345680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1407104433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 GROVE ST",
            "address_2": "UNIT C9",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133173",
            "telephone_number": "973-652-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 GROVE ST UNIT C9",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133175",
            "telephone_number": "973-652-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLENOS",
        "first_name": "ROSEMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-23",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA00961300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.