Individual provider Active NPI

Amanda Ossig

  • Physical Therapist
  • Paramus, NJ
National Provider Identifier
1679297303
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02107400 Issued in NJ
Practice address
4 Forest Ave FL 1
Paramus, NJ 07652-5237
Phone
(201) 977-4441
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA02107400 NJ Primary

Addresses

Primary practice location

4 Forest Ave FL 1
Paramus, NJ 07652-5237

Mailing address

4 Forest Ave FL 1
Paramus, NJ 07652-5237
Phone (201) 977-4441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221024002835 NJ Practitioner - Physical Therapist in Private Practice 0648646166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body Moksha Physical TherapyGroup PAC ID 2567993629, 6 clinicians

Practice addresses (Care Compare)

466 Southern Blvd
Chatham, NJ 07928-1462
Phone (973) 310-2678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02107400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Moksha Physical Therapy Single Specialty CurrentSince Sep 16, 2024 Accepting new patients
Bloom Pelvic Health Current Accepting new patients
Maven Northeast Bergen, LLC Physical Therapist PastSince Aug 8, 2021 Accepting new patients

Locations

466 Southern Blvd
Bldg 1ST
Chatham, NJ 07928
Phone (973) 310-2678

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": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1679297303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FOREST AVE FL 1",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525237",
            "telephone_number": "201-977-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FOREST AVE FL 1",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525237",
            "telephone_number": "201-977-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSIG",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02107400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.