Individual provider Active NPI

Samantha Rosenblatt, PT, DPT

  • Physical Therapist
  • Montclair, NJ
National Provider Identifier
1629645452
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01978600 Issued in NJ
Practice address
15 Bloomfield Ave
Montclair, NJ 07042-4888
Phone
(973) 744-2770
Fax
(973) 566-1766
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01978600 NJ Primary

Addresses

Primary practice location

15 Bloomfield Ave
Montclair, NJ 07042-4888

Mailing address

15 Bloomfield Ave
Montclair, NJ 07042-4888
Phone (973) 744-2770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210716000762 NJ Practitioner - Physical Therapist in Private Practice 8022410729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parabolic Performance and Rehab, LLCGroup PAC ID 8022200278, 10 clinicians
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

15 Bloomfield Ave
Montclair, NJ 07042-4888
Phone (973) 477-2770

688 Westwood Ave
River Vale, NJ 07675-6375
Phone (201) 322-5471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince May 22, 2023 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince May 22, 2023 Accepting new patients
Parabolic Performance & Rehabilitation Hackensack, LLC Physical Therapist CurrentSince Jul 1, 2026 Accepting new patients

Locations

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

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

111 Midtown Brg Approac
Fl 2
Hackensack, NJ 07601
Phone (973) 744-2770

15 Bloomfield Ave
Montclair, NJ 07042
Phone (973) 477-2770

15 S Kinderkamack Rd
Montvale, NJ 07645
Phone (201) 573-4969

688 Westwood Ave
River Vale, NJ 07675
Phone (201) 322-5470

Organizations & group practices 4

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1629645452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424888",
            "telephone_number": "973-744-2770",
            "fax_number": "973-566-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424888",
            "telephone_number": "973-744-2770",
            "fax_number": "973-566-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "SAMANTHA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01978600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.