Individual provider Active NPI

Manthan Patel, PT

  • Physical Therapist
  • Tenafly, NJ
National Provider Identifier
1528343076
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01474800 Issued in NJ
Practice address
145 Piermont Rd
Tenafly, NJ 07670-1022
Phone
(201) 568-3355
Fax
(210) 568-3350
NPI assigned
Oct 17, 2011
Last updated
Feb 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033846 NY
Physical Therapist 225100000X 40QA01474800 NJ Primary

Addresses

Primary practice location

145 Piermont Rd
Tenafly, NJ 07670-1022

Mailing address

145 Piermont Rd
Tenafly, NJ 07670-1022
Phone (201) 568-3355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130803000133 NJ Practitioner - Physical Therapist in Private Practice 2567635782 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Physical Therapy and Sports RehabilitationsGroup PAC ID 0042348948, 3 clinicians
Dynamic Physical Therapy at HomeGroup PAC ID 9133460934, 13 clinicians
New Jersey Rehab Experts LLCGroup PAC ID 9335404656, 5 clinicians

Practice addresses (Care Compare)

220 Livingston St
Suite 108
Northvale, NJ 07647-1739
Phone (201) 564-7515

610 Washington Blvd
Jersey City, NJ 07310-1400
Phone (267) 271-8938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Physical Therapy Limited Partnership Physical Therapist CurrentSince Apr 1, 2012 Accepting new patients
Metro Physical Therapy LLC Physical Therapist CurrentSince Apr 15, 2025 Accepting new patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Mar 31, 2014 Accepting new patients
Dynamic Physical Therapy at Home Physical Therapist CurrentSince Nov 7, 2022 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Mar 24, 2014 Accepting new patients
Quality Care Physical Therapy & Rehab Center Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
New Jersey Rehab Experts LLC Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Mar 24, 2014 Accepting new patients
Ignite Rehab Corp Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Madison PT of New Jersey, PC Physical Therapist PastSince Jan 3, 2013 Accepting new patients
Profitness Physical Therapy PastSince Aug 20, 2012 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

7 Carnegie Plz
Cherry Hill, NJ 08003

1003 Main Ave
Clifton, NJ 07011
Phone (201) 344-2499

105 Union Ave
Cresskill, NJ 07626

90 Washington St
Ste 212
East Orange, NJ 07017
Phone (973) 415-2329

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

610 Washington Blvd
Jersey City, NJ 07310
Phone (201) 222-1266

219 Richmond Ave
New Milford, NJ 07646
Phone (201) 907-3150

220 Livingston St
Ste 108
Northvale, NJ 07647
Phone (201) 564-7515

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

145 Piermont Rd
Tenafly, NJ 07670
Phone (201) 414-8093

186 Princeton Hightstown Rd
Ste 3B-104
West Windsor Township, NJ 08550
Phone (212) 227-3233

354 Old Hook Rd
Ste G1
Westwood, NJ 07675
Phone (201) 594-9312

800 E Gate Blvd
Garden City, NY 11530

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1528343076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PIERMONT RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701022",
            "telephone_number": "201-568-3355",
            "fax_number": "210-568-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PIERMONT RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701022",
            "telephone_number": "201-568-3355",
            "fax_number": "210-568-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANTHAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033846",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01474800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.