Individual provider Active NPI

Cyrus Perez Oriendo, RPT

  • Physical Therapist
  • Freehold, NJ
National Provider Identifier
1487771929
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA01234500 Issued in NJ
Practice address
115 Dutch Lane Rd
Freehold, NJ 07728-5500
Phone
(732) 431-7285
NPI assigned
Mar 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 QA01234500 NJ Primary

Addresses

Primary practice location

115 Dutch Lane Rd
Freehold, NJ 07728-5500

Mailing address

9 Civic Center Dr Apt 3
East Brunswick, NJ 08816-3556
Phone (732) 254-2681

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100408000050 NJ Practitioner - Physical Therapist in Private Practice 0244366839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Brain Spine and Sports Medicine, LLCGroup PAC ID 8527396639, 4 clinicians

Practice addresses (Care Compare)

558 Lawrence Square Blvd S
Lawrenceville, NJ 08648-2674
Phone (609) 585-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA01234500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Brain Spine and Sports Medicine, LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

558 Lawrence Square Blvd S
Lawrenceville, NJ 08648
Phone (609) 585-6100

Organizations & group practices 1

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487771929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CIVIC CENTER DR APT 3",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163556",
            "telephone_number": "732-254-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 DUTCH LANE RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285500",
            "telephone_number": "732-431-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORIENDO",
        "first_name": "CYRUS",
        "middle_name": "PEREZ",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA01234500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.