Active NPI
Jillian D Casella, DPT
- Physical Therapist
- Livingston, NJ
National Provider Identifier
1639712441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01890700
- Practice address
- 5 Regent St Ste 503
Livingston, NJ 07039-1682 - Phone
- (973) 422-0888
- Fax
- (973) 422-0880
- NPI assigned
- Oct 24, 2019
- 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 | 40QA01890700 | NJ | Primary |
Addresses
Primary practice location
5 Regent St Ste 503
Livingston, NJ 07039-1682
Mailing address
5 Regent St Ste 503
Livingston, NJ 07039-1682
Phone (973) 422-0888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01890700 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Barre Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Theatre Arts Physiotherapy, LLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Ridgewood, NJ
- NPI 1730873308
-
- Physical Therapist
- Livingston, NJ
- NPI 1760653232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1639712441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 REGENT ST STE 503",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070391682",
"telephone_number": "973-422-0888",
"fax_number": "973-422-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 REGENT ST STE 503",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070391682",
"telephone_number": "973-422-0888",
"fax_number": "973-422-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASELLA",
"first_name": "JILLIAN",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-24",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01890700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.