Individual provider Active NPI

Danielle Restivo, DPT

  • Physical Therapist
  • Bradley Beach, NJ
National Provider Identifier
1679607915
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA011459 Issued in NJ
Practice address
2 Main Street
Suite 1
Bradley Beach, NJ 07720
Phone
(732) 807-4702
NPI assigned
Mar 16, 2007
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA011459 NJ Primary

Addresses

Primary practice location

2 Main Street
Suite 1
Bradley Beach, NJ 07720

Mailing address

630 Susan LN
Brielle, NJ 08730-1736
Phone (732) 276-5846

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120821000933 NJ Practitioner - Physical Therapist in Private Practice 8123275435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Current Rehabilitation Co LLCGroup PAC ID 7214109420, 13 clinicians

Practice addresses (Care Compare)

2 Main St
Suite 1
Bradley Beach, NJ 07720-1062
Phone (732) 807-4720

827 Belmar PLZ
Belmar, NJ 07719-2752
Phone (732) 802-4720

Merit-based Incentive Payment System (MIPS)

Final score
84.67 of 100Reported as group
Quality
85
Improvement activities
40
Cost
68.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA011459NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Current Rehabilitation Co LLC Physical Therapist CurrentSince Jul 30, 2012 Accepting new patients

Locations

827 Belmar Plz
Belmar, NJ 07719
Phone (732) 802-4720

2 Main St
Ste 1
Bradley Beach, NJ 07720
Phone (732) 807-4702

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1679607915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SUSAN LN",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301736",
            "telephone_number": "732-276-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAIN STREET",
            "address_2": "SUITE 1",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "07720",
            "telephone_number": "732-807-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTIVO",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA011459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradley Beach, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.