Individual provider Active NPI

Amanda Dekleine, PT

  • Physical Therapist
  • Hillsborough, NJ
National Provider Identifier
1609614627
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02033400 Issued in NJ
Practice address
220 Triangle Rd Unit 229
Hillsborough, NJ 08844-8102
Phone
(908) 681-5045
NPI assigned
Jul 15, 2024
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 PT029901 PA
Physical Therapist 225100000X 40QA02033400 NJ Primary

Addresses

Primary practice location

220 Triangle Rd Unit 229
Hillsborough, NJ 08844-8102

Mailing address

227 Clamer Rd
Ewing, NJ 08628-3202
Phone (609) 240-9078

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801001597 NJ Practitioner - Physical Therapist in Private Practice 0840737300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attain Physical TherapyGroup PAC ID 6305272659, 68 clinicians

Practice addresses (Care Compare)

220 Triangle Rd
Unit 229
Hillsborough, NJ 08844-8102
Phone (908) 681-5045

766 Broad St
Shrewsbury, NJ 07702-4203
Phone (855) 428-8246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT029901PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allybran Inc Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Attain Physical Therapy Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients

Locations

1275 Bloomfield Ave
Ste 60
Fairfield, NJ 07004

220 Triangle Rd
Unit 229
Hillsborough, NJ 08844
Phone (201) 673-8022

Organizations & group practices 2

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1609614627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CLAMER RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283202",
            "telephone_number": "609-240-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 TRIANGLE RD UNIT 229",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088448102",
            "telephone_number": "908-681-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKLEINE",
        "first_name": "AMANDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029901",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02033400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.