Erin Centolanza-Jacobs

Individual provider Active NPI Physical Therapist · Clinton, NJ

NPI 1437553757 · NPPES record last updated May 19, 2021

Key facts

NPI
1437553757
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
186 Center St Ste 100
Clinton, NJ 08809-1385
Phone
(908) 323-2854
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare Rehabilitation, LLC (69 clinicians)

Practice addresses (Care Compare)

186 Ctr St
Suite 100
Clinton, NJ 08809-1385
Phone (908) 323-2854

4 Walter E Foran Blvd
Suite 203
Flemington, NJ 08822-4666
Phone (908) 237-0000

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160125000484 NJ Practitioner - Physical Therapist in Private Practice 5496058505 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Rehabilitation, LLC Physical Therapist Current
since Sep 2, 2015
Accepting new patients

Locations

186 Center St
Ste 100
Clinton, NJ 08809
Phone (908) 323-2854

4 Walter E Foran Blvd
Ste 203
Flemington, NJ 08822
Phone (732) 340-1012

4 Walter E Foran Blvd
Flemington, NJ 08822
Phone 9082370000 ext. 90823

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

186 Center St Ste 100
Clinton, NJ 08809-1385

Mailing address

1 Bethany Road
BLDG 4, Ste 53
Hazlet, NJ 07730
Phone (732) 264-6106

Other practice location 1

Washington Dc Va Medical Center 50 Irving St NW
Washington, DC 20422-0001
Phone (202) 745-8311

Other providers in Clinton, NJ

All providers in Clinton, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.