Active NPI
Nicole Fortunato
- Physical Therapist
- Clinton, NJ
National Provider Identifier
1497617591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02386800
- Practice address
- 186 Center St Ste 100
Clinton, NJ 08809-1385 - Phone
- (908) 323-2854
- NPI assigned
- Nov 26, 2025
- 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 | 40QA02386800 | NJ | Primary |
Addresses
Primary practice location
186 Center St Ste 100
Clinton, NJ 08809-1385
Mailing address
186 Center St Ste 100
Clinton, NJ 08809-1385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
186 Ctr St
Suite 100
Clinton, NJ 08809-1385
Phone (908) 323-2854
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02386800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
186 Center St
Ste 100
Clinton, NJ 08809
Phone (908) 323-2854
4 Walter E Foran Blvd
Ste 203
Flemington, NJ 08822
Phone (732) 340-1012
4 Walter E Foran Blvd
Flemington, NJ 08822
Phone 9082370000 ext. 90823
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1497617591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 CENTER ST STE 100",
"city": "CLINTON",
"state": "NJ",
"postal_code": "088091385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 CENTER ST STE 100",
"city": "CLINTON",
"state": "NJ",
"postal_code": "088091385",
"telephone_number": "908-323-2854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTUNATO",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-26",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02386800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.