Individual provider Active NPI

Katelyn Van Aman, DPT

  • Orthopedic Physical Therapist
  • Piscataway, NJ
National Provider Identifier
1417476573
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA01740600 Issued in NJ
Practice address
220 Centennial Ave
Piscataway, NJ 08854-3940
Phone
(732) 980-6235
NPI assigned
Sep 10, 2017
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA01740600 NJ Primary

Addresses

Primary practice location

220 Centennial Ave
Piscataway, NJ 08854-3940

Mailing address

41 Center St Apt 204
High Bridge, NJ 08829-1931
Phone (862) 324-2461

Other names 1

  • Katelyn Miele Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221000789 NJ Practitioner - Physical Therapist in Private Practice 3173043023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
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)

108 Bilby Rd
Suite 201
Hackettstown, NJ 07840-4174
Phone (908) 684-5646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Orthopedic Current Accepting new patients
Ivyrehab Network, Inc. Orthopedic CurrentSince Mar 3, 2025 Accepting new patients
Ivyrehab Network Inc Orthopedic CurrentSince Mar 3, 2025 Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

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

108 Bilby Rd
Ste 201
Hackettstown, NJ 07840
Phone (908) 684-5646

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1417476573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CENTER ST APT 204",
            "city": "HIGH BRIDGE",
            "state": "NJ",
            "postal_code": "088291931",
            "telephone_number": "862-324-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CENTENNIAL AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543940",
            "telephone_number": "732-980-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN AMAN",
        "first_name": "KATELYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01740600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "MIELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.