Individual provider Active NPI

Erin Polos

  • Physical Therapist
  • Basking Ridge, NJ
National Provider Identifier
1457729923
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01055900 Issued in NJ
Practice address
150 Linden Dr
Basking Ridge, NJ 07920-1965
Phone
(908) 963-1854
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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 40QA01055900 NJ Primary

Addresses

Primary practice location

150 Linden Dr
Basking Ridge, NJ 07920-1965

Mailing address

150 Linden Dr
Basking Ridge, NJ 07920-1965
Phone (908) 963-1854

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623000713 NJ Practitioner - Physical Therapist in Private Practice 9537450481 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramanda Corp LLCGroup PAC ID 0345436036, 3 clinicians

Practice addresses (Care Compare)

413 King George Rd
Suite 205
Basking Ridge, NJ 07920-2817
Phone (908) 903-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schick Chiropractic Center, LLC Physical Therapist CurrentSince Jul 2, 2018 Accepting new patients
Therayouth Foundation Physical Therapist CurrentSince Aug 28, 2022 Accepting new patients
Ramanda Corp LLC Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
A to Z Total Healthcare LLC Physical Therapist Past Accepting new patients

Locations

413 King George Rd
Ste 205
Basking Ridge, NJ 07920
Phone (908) 903-1901

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

244 Route 46 E
Fairfield, NJ 07004
Phone (862) 702-3420

317 Cleveland Ave
Highland Park, NJ 08904
Phone (732) 249-9800

571 Central Ave
Ste 106
New Providnce, NJ 07974
Phone (516) 770-2055

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 5

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1457729923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LINDEN DR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201965",
            "telephone_number": "908-963-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LINDEN DR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201965",
            "telephone_number": "908-963-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOS",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01055900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.