Jennifer Fealy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01756800 Issued in NJ

Practice address

111 Kings Road
Madison, NJ 07940

Phone

(973) 270-7417

NPI assigned

Apr 21, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Touro Un Col of Osteopathic Medicine, New York, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Physical Therapy and Training, LLCGroup PAC ID 9638104995, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Professional Physical Therapy & Training, LLC

  • Physical Therapy Clinic/Center
  • Madison, NJ
  • NPI 1629261763

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1497542872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CHIPMUNK HL",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070921603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 KINGS ROAD",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "07940",
            "telephone_number": "973-270-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEALY",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01756800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Anthony Esposito, M.D.
• John Thomas Faillace, DMD
• Janis M Falvey, M.S., LPC
• Gianna N Farese, AGACNP-BC, MSN
• Margaret Mary Farrell, D.M.D.
• Feedback Loops Occupational Therapy and Biofeedback Services
• Bryan William Fennelly, M.D.
• Jaime Ferreira, PT, DPT
• Denise Fiore, APN
• Amalie Malka Flamm, OTR/L

• Physical Therapist in Madison, NJ
• Providers in Madison, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.