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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160125000484 | NJ | Practitioner - Physical Therapist in Private Practice | 5496058505 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Rehabilitation, LLC | Physical Therapist | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Julia Canty
- Miranda Elizabeth Capezzuto
- Carolyn Regan Counseling & Psychotherapy
- Ana Marie Angeles Castillo
- Cecilia Cruz Celestino
- Victoria Chen
- Chik S Chin
- Bachar Chrife
- Carol Christofilis
- Kelly J Ciardiello
All providers in Clinton, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.