Individual provider Active NPI

Jillian D Casella, DPT

  • Physical Therapist
  • Livingston, NJ
National Provider Identifier
1639712441
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01890700 Issued in NJ
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

Updated by the provider on Oct 24, 2019

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 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

LicenseStateTypeSpecialty
40QA01890700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Barre Physical Therapy LLC Physical Therapist Current Accepting new patients
Theatre Arts Physiotherapy, LLC Physical Therapist PastSince Oct 27, 2019 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.

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.

Verify at the official NPI Registry.