Active NPI
Joseph Penaverde
- Physical Therapist
- Blackwood, NJ
National Provider Identifier
1659487668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 400 E Church St
Blackwood, NJ 08012-3910 - Phone
- (609) 703-1521
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
400 E Church St
Blackwood, NJ 08012-3910
Mailing address
127 Raymond Dr
Sewell, NJ 08080-1665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230314000514 | NJ | Practitioner - Physical Therapist in Private Practice | 1759389422 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Partners in Homecare Services LLC
Practice addresses (Care Compare)
400 E Church St
Blackwood, NJ 08012-3910
Phone (609) 703-1521
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehab Professionals,LLC | Past | Accepting new patients | |
| Advance Rehab Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Bloomfield, NJ
- NPI 1225259641
-
- Physical Medicine & Rehabilitation Physician
- Bloomfield, NJ
- NPI 1518052448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1659487668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 RAYMOND DR",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080801665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E CHURCH ST",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080123910",
"telephone_number": "609-703-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENAVERDE",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackwood, NJ
- Partners in Homecare Services LLC
- Nirmita Patel
- Vinod I Patel, R.PH
- Shayla J. Pearson, APN
- Pediatric and Adolescent Medicine Group NJ
- Perry J Cicchini DC PA
- Marcella Perry
- Personalized Independent Living Opporuntities & Training Services
- Personalized Independent Living Opporuntities & Training Services
- Maria Petrongolo, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.