Individual provider Active NPI

Jenna Marie Kologie

  • Neurology Physical Therapist
  • Westwood, NJ
National Provider Identifier
1407720386
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
40QA02376500 Issued in NJ
Practice address
99 Kinderkamack Rd Ste 100
Westwood, NJ 07675-3019
Phone
(201) 383-0826
NPI assigned
Oct 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 40QA02376500 NJ Primary

Addresses

Primary practice location

99 Kinderkamack Rd Ste 100
Westwood, NJ 07675-3019

Mailing address

24 Bobbink Ter
East Rutherford, NJ 07073-1105
Phone (201) 364-2060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030005232 NJ Practitioner - Physical Therapist in Private Practice 3072002849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aim Neuro Rehab LLCGroup PAC ID 4789066705, 11 clinicians

Practice addresses (Care Compare)

99 Kinderkamack Rd
Suite 100
Westwood, NJ 07675-3012
Phone (845) 649-4531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02376500NJMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Neuro Rehab, LLC Neurology CurrentSince Oct 1, 2025 Accepting new patients

Locations

99 Kinderkamack Rd
Ste 100
Westwood, NJ 07675
Phone (201) 383-0826

Organizations & group practices 1

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": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1407720386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BOBBINK TER",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731105",
            "telephone_number": "201-364-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD STE 100",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753019",
            "telephone_number": "201-383-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOGIE",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NJ",
            "license": "40QA02376500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.