Nicole Brovarone, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01980200 Issued in NJ

Practice address

608 Washington St
Hoboken, NJ 07030-5170

Phone

(201) 484-0134

Fax

(201) 484-7123

NPI assigned

Nov 25, 2020

Last updated

Nov 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liberty Physical Therapy PCGroup PAC ID 2961678537, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Liberty Physical Therapy PC

  dba Liberty Physical Therapy & Wellness

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1669768735
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1407450885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WASHINGTON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305170",
            "telephone_number": "201-484-0134",
            "fax_number": "201-484-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROVARONE",
        "first_name": "NICOLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01980200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgeway Behavioral Health Services
• Bridgeway Behavioral Health Services
• Brightdale Homes Inc
• Gloria Rose Briseno, CCC,SLP
• Raymond Brock-Murray, L.P.C
• Marissa Brown, RN
• Tiffany Brown, LCSW
• Lisa Marie Bruno, RD
• Karl Kent Brustle
• Emily Concetta Bucher, OTR/L

• Physical Therapist in Hoboken, NJ
• Providers in Hoboken, 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 Nov 30, 2020; 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.