Patricia Connolly Vincentz, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00203400 Issued in NJ

Practice address

606 Prospect Ave
Ridgefield, NJ 07657-1713

Phone

(201) 941-8978

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Maureen Broderick Wilhelm LPT PA

  dba Sports Training Physical Therapy

  • Physical Therapist
  • Millburn, NJ
  • NPI 1114963063
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417084930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 PROSPECT AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571713",
            "telephone_number": "201-941-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 PROSPECT AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571713",
            "telephone_number": "201-941-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENTZ",
        "first_name": "PATRICIA",
        "middle_name": "CONNOLLY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00203400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Tranquil X (The Tranquil Experience Wellness Center)
• Theradynamics Physical Therapy LLC
• Thryve Healing and Performance
• Tru Acupuncture and Oriental Medicine LLC
• Valley Dental Associates, PA (Portale Dental)
• Vivant Medical Care PC
• Westfield Physical Therapy LLC
• Derrian Williams
• Withus Homecare Inc
• Woo Dental Ridgefield

• Physical Therapist in Ridgefield, NJ
• Providers in Ridgefield, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.