Individual provider Active NPI

Maria Bellla Bernardo-Decurtis, PT, MS

  • Physical Therapist
  • Wyckoff, NJ
National Provider Identifier
1457413387
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00365200 Issued in NJ
Practice address
637 Wyckoff Ave Ste 25
Wyckoff, NJ 07481-1442
Phone
(201) 848-4599
Fax
(201) 848-6336
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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 40QA00365200 NJ Primary

Addresses

Primary practice location

637 Wyckoff Ave Ste 25
Wyckoff, NJ 07481-1442

Mailing address

11 Eagle Rock Ave
East Hanover, NJ 07936
Phone (973) 887-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
The Rebound Group, LLC Physical Therapist PastSince Jun 28, 2010 Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients
Quest Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1457413387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "07936",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WYCKOFF AVE STE 25",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811442",
            "telephone_number": "201-848-4599",
            "fax_number": "201-848-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO-DECURTIS",
        "first_name": "MARIA",
        "middle_name": "BELLLA",
        "name_prefix": "Mrs.",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00365200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.