Individual provider Active NPI

Genelyn Mae Pinera Sadol, PT

  • Physical Therapist
  • Bergenfield, NJ
National Provider Identifier
1427317171
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029688-1 Issued in NY
Practice address
15 Esser PL
Bergenfield, NJ 07621-1809
Phone
(347) 694-0127
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0296881 NY
Physical Therapist 225100000X 029688-1 NY Primary

Addresses

Primary practice location

15 Esser PL
Bergenfield, NJ 07621-1809

Mailing address

15 Esser PL
Bergenfield, NJ 07621-1809
Phone (347) 694-0127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171113002603 NJ Practitioner - Physical Therapist in Private Practice 3779849435 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Homecare Rehabilitation LLCGroup PAC ID 0648626234, 3 clinicians

Practice addresses (Care Compare)

Bergenfield, NJ 07621
Phone (347) 694-0127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029688-1NYMDPharmacist
0296881NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Pinnacle Homecare Rehabilitation LLC Physical Therapist CurrentSince Oct 4, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
Balanced Body Rehabilitation LLC Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
Madison PT of New Jersey, PC Physical Therapist Past Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

111 Dean Dr
Ste 1N
Tenafly, NJ 07670
Phone (201) 402-7802

Organizations & group practices 7

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": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1427317171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ESSER PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211809",
            "telephone_number": "347-694-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ESSER PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211809",
            "telephone_number": "347-694-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADOL",
        "first_name": "GENELYN MAE",
        "middle_name": "PINERA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0296881",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029688-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.