Individual provider Active NPI

Andrea L Varellie, BSPT

  • Physical Therapist
  • Flanders, NJ
National Provider Identifier
1447715719
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00480800 Issued in NJ
Practice address
244 Route 206 Ste 3
Flanders, NJ 07836-9197
Phone
(973) 598-3077
Fax
(973) 598-3097
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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 40QA00480800 NJ Primary

Addresses

Primary practice location

244 Route 206 Ste 3
Flanders, NJ 07836-9197

Mailing address

5300 Derry St FL 2
Harrisburg, PA 17111-3576
Phone (717) 839-2166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190304000167 NJ Practitioner - Physical Therapist in Private Practice 8527307958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLC 334 clinicians
Activecare Physical Therapy LLC 9 clinicians

Practice addresses (Care Compare)

310 Madison Ave
Suite 130
Morristown, NJ 07960-6967
Phone (973) 292-1101

600 Mount Pleasant Ave
Suite F
Dover, NJ 07801-1621
Phone (973) 366-4000

Merit-based Incentive Payment System (MIPS)

Final score
70.15 of 100Reported as group
Quality
51.13
Improvement activities
40
Cost
65.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00480800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activecare Physical Therapy LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

600 Mount Pleasant Ave
Ste F
Dover, NJ 07801
Phone (973) 366-4000

2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065

501 State Route 10
#2
Ledgewood, NJ 07852

310 Madison Ave
Ste 130
Morristown, NJ 07960
Phone (973) 292-1101

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1447715719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DERRY ST FL 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113576",
            "telephone_number": "717-839-2166",
            "fax_number": "717-565-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 ROUTE 206 STE 3",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369197",
            "telephone_number": "973-598-3077",
            "fax_number": "973-598-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELLIE",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "BSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00480800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flanders, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.