Individual provider Active NPI

Niasia Boone

  • Physical Therapist
  • Hamilton Township, NJ
National Provider Identifier
1508687120
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP043855T Issued in DC
Practice address
1249 NJ-33
Suite 10
Hamilton Township, NJ 08690
Phone
(609) 964-7477
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02295200 NJ
Physical Therapist 225100000X 40QA02295200
Physical Therapist 225100000X CP043855T DC Primary

Addresses

Primary practice location

1249 NJ-33
Suite 10
Hamilton Township, NJ 08690

Mailing address

1249 NJ-33
Suite 10
Hamilton Township, NJ 08690
Phone (609) 964-7477

Other practice location 1

3508 Connecticut Ave NW
Washington, DC 20008-2401
Phone (202) 897-3890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241031001221 NJ Practitioner - Physical Therapist in Private Practice 8921531740 Reassigns benefits to 1 organization
I20250507003564 DC Practitioner - Physical Therapist in Private Practice 8921531740 Reassigns benefits to 1 organization
I20260106004178 PA Practitioner - Physical Therapist in Private Practice 8921531740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians
Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians

Practice addresses (Care Compare)

1915 Guernsey Ave
Abington, PA 19001-3701
Phone (215) 659-8600

3508 Connecticut Ave NW
Washington, DC 20008-2401
Phone (202) 897-3890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Oct 18, 2024 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Oct 18, 2024 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist PastSince May 1, 2025 Accepting new patients

Locations

3508 Connecticut Ave NW
Washington, DC 20008
Phone (202) 897-3890

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

1249 Highway 33
Ste 10
Trenton, NJ 08690
Phone (609) 964-7477

1915 Guernsey Ave
Abington, PA 19001
Phone (215) 659-8600

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1508687120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 NJ-33",
            "address_2": "SUITE 10",
            "city": "HAMILTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-964-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 NJ-33",
            "address_2": "SUITE 10",
            "city": "HAMILTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-964-7477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3508 Connecticut Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200082401",
            "country_code": "US",
            "telephone_number": "202-897-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "NIASIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02295200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "40QA02295200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "CP043855T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.