Individual provider Active NPI

Michael Sadol, PT, DPT

  • Physical Therapist
  • Bergenfield, NJ
National Provider Identifier
1669791521
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01361500 Issued in NJ
Practice address
15 Esser PL
Bergenfield, NJ 07621-1809
Phone
(646) 318-3555
NPI assigned
May 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 029690-1 NY
Physical Therapist 225100000X 40QA01361500 NJ Primary

Addresses

Primary practice location

15 Esser PL
Bergenfield, NJ 07621-1809

Mailing address

15 Esser PL
Bergenfield, NJ 07621-1809
Phone (646) 318-3555

Other identifiers 2

IdentifierTypeStateIssuer
263762745MedicaidNY
40QA01361500OtherNJNJ PT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110808000474 NJ Practitioner - Physical Therapist in Private Practice 7810172988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Homecare Rehabilitation LLCGroup PAC ID 0648626234, 3 clinicians

Practice addresses (Care Compare)

Bergenfield, NJ 07621
Phone (347) 694-0127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029690-1NYMDPhysical Therapist
029690NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Body Rehabilitation LLC Physical Therapist CurrentSince Nov 26, 2020 Accepting new patients
Pinnacle Homecare Rehabilitation LLC Physical Therapist CurrentSince Nov 3, 2023 Accepting new patients
Mua Specialists LLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

90 Main St
Ste 308
Hackensack, NJ 07601
Phone (201) 646-2500

111 Dean Dr
Ste 1N
Tenafly, NJ 07670
Phone (201) 402-7802

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.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1669791521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ESSER PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211809",
            "telephone_number": "646-318-3555",
            "fax_number": "201-338-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ESSER PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211809",
            "telephone_number": "646-318-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADOL",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029690-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01361500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263762745",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ PT LICENSE",
            "identifier": "40QA01361500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.