Active NPI
Andrea L Varellie, BSPT
- Physical Therapist
- Flanders, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00480800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCActivecare Physical Therapy LLC
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 100
- Quality
- 51.13
- Improvement activities
- 40
- Cost
- 65.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00480800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activecare Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Jag-One Physical Therapy, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- West Orange, NJ
- NPI 1518017144
NJ, Physical Therapist
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.