Tracy L Mascilak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00626600 Issued in NJ

Practice address

540 Lafayette Rd
Suite B
Sparta, NJ 07871-3497

Phone

(973) 940-8680

Fax

(973) 940-8634

NPI assigned

Sep 19, 2007

Last updated

Feb 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Home Rehabilitation, LLCGroup PAC ID 0345418646, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastal Home Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Belmar, NJ
  • NPI 1316236664

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Mobile Therapy Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1326495615
  Medicare reassignment NPD
• Opt Physical Therapy and Wellness LLC

  • Physical Therapist
  • Oak Ridge, NJ
  • NPI 1659404457
  Medicare reassignment NPD
• Highlands Interventional Pain Management LLC

  • Pain Medicine (Anesthesiology) Physician
  • Newton, NJ
  • NPI 1528164258
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1669668075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WINDING BROOK RD",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191026",
            "telephone_number": "973-670-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LAFAYETTE RD",
            "address_2": "SUITE B",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713497",
            "telephone_number": "973-940-8680",
            "fax_number": "973-940-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCILAK",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00626600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine M Maris, LCSW
• Mark Zaleski T/a Albert Minelli Opticians
• Elena Martinez, O.D
• Rachel Allison Martini
• Gary J Mascilak, PT
• Michael Mastaj
• Gillian Matos
• Charlene Armstrong Mayer, LPC
• George Mbolu Jr., M.D
• Jarid Dior McCarthy

• Physical Therapist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.