Individual provider Active NPI

Anthony Giannella, DPT

  • Physical Therapist
  • Waldwick, NJ
National Provider Identifier
1437805256
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02076600 Issued in NJ
Practice address
2 North St Ste 1B
Waldwick, NJ 07463-1898
Phone
(201) 857-8685
NPI assigned
Mar 2, 2022
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02076600 NJ Primary

Addresses

Primary practice location

2 North St Ste 1B
Waldwick, NJ 07463-1898

Mailing address

3 Emeline Dr
Hawthorne, NJ 07506-3008
Phone (973) 919-5801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220404001277 NJ Practitioner - Physical Therapist in Private Practice 7012303803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercy College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

251 Rock Rd
Suite 2
Glen Rock, NJ 07452-1745
Phone (201) 445-0900

50 Spring St
Ramsey, NJ 07446-1131
Phone (201) 464-0674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02076600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Rock Physical Therapy and Sports Rehabilitation, Inc CurrentSince Mar 15, 2023 Accepting new patients
Bergen Performance Physical Therapy CurrentSince May 18, 2025 Accepting new patients

Locations

251 Rock Rd
Fl 2
Glen Rock, NJ 07452
Phone (201) 445-0900

50 Spring St
Ramsey, NJ 07446
Phone (201) 464-0674

Organizations & group practices 2

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": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1437805256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EMELINE DR",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063008",
            "telephone_number": "973-919-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NORTH ST STE 1B",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631898",
            "telephone_number": "201-857-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNELLA",
        "first_name": "ANTHONY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02076600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.