Active NPI
Nicole A Vasiliu, DPT
- Physical Therapist
- Manchester, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01934400
- Practice address
- 2915 Ridgeway Rd
Manchester, NJ 08759-4755 - Phone
- (732) 657-7900
- NPI assigned
- Aug 10, 2017
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT026308 | PA | |
| Physical Therapist | 225100000X | 40QA01934400 | NJ | Primary |
Addresses
Primary practice location
2915 Ridgeway Rd
Manchester, NJ 08759-4755
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (914) 294-4050
Other practice location 1
5425 Jonestown Rd Ste 100
Harrisburg, PA 17112-4086
Phone (717) 901-6245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2915 Ridgeway Rd
Manchester, NJ 08759-4755
Phone (732) 657-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT026308 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Advanced Wellness | Physical Therapist | Current | Accepting new patients |
| Atlantic Physical Therapy Center | Current | Accepting new patients | |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Atlantic Physical Therapy Center | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc | Physical Therapist | Current | Accepting new patients |
Locations
74 Brick Blvd
Ste 116
Brick, NJ 08723
Phone (732) 451-0010
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
718B Buckingham Dr
Lakewood, NJ 08701
Phone (732) 456-8310
1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800
2915 Ridgeway Rd
Manchester, NJ 08759
Phone (732) 657-7900
17 N Main St
Marlboro, NJ 07746
Phone (732) 431-2155
1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787
1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749
Organizations & group practices 6
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.
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Orthopedic Physical Therapist
- Toms River, NJ
- NPI 1801857917
-
- Hand Occupational Therapist
- Oakhurst, NJ
- NPI 1659945228
-
- Physical Therapist
- Hoboken, NJ
- NPI 1861623753
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1679098677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 RIDGEWAY RD",
"city": "MANCHESTER",
"state": "NJ",
"postal_code": "087594755",
"telephone_number": "732-657-7900"
}
],
"practiceLocations": [
{
"address_1": "5425 Jonestown Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171124086",
"country_code": "US",
"telephone_number": "717-901-6245",
"fax_number": "717-901-9488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASILIU",
"first_name": "NICOLE",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-10",
"last_updated": "2022-07-21",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026308",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01934400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NJ
- Sole E Comfort and Footcare LLC (Sole E Comfort and Footcare)
- Elizabeth Ann Stansky
- The Devereux Foundation (Devereux Advanced Behavioral Health)
- Louis Thomas Tucciarone Jr., MSOTR
- Unitycareliving
- Lindsay Walicky, DPT
- Webrighten Ai Dba Park Smiles Manchester
- Nechama Willner, LCSW
- Rachel Wolff, DPT
- Cathi J Yayac, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.