Tracey J Podolsky, MPT, CLT-LANA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00948400 Issued in NJ

Practice address

504 Aldrich Rd Unit 1E
Howell, NJ 07731-1978

Phone

(732) 222-8556

NPI assigned

May 15, 2006

Last updated

Jan 1, 2021By 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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Wyatt Medical, LLC

  dba Wyatt Rehabilitation

  • Rehabilitation Practitioner
  • Howell, NJ
  • NPI 1710938444

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Hope for Life, Inc.

  • Physical Therapist
  • Jackson, NJ
  • NPI 1326221797
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1417908476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ALDRICH RD UNIT 1E",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311978",
            "telephone_number": "732-222-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 ALDRICH RD UNIT 1E",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311978",
            "telephone_number": "732-222-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODOLSKY",
        "first_name": "TRACEY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MPT, CLT-LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00948400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Piccininni, APN
• Pinewoods Assisted Living
• Sandra Pinzon, DDS
• Robin Pisciotta, MSCCC-SLP
• Suresh Shanker Pitchumoni, M.D.
• Maria Polizzi, MD
• Jamie Ponticello
• Powerful Journey Healing
• Primary Care Medical LLC
• Nicole Proetto

• Physical Therapist in Howell, NJ
• Providers in Howell, 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 Jan 1, 2021; 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.