Individual provider Active NPI

Jo Ann Gonzales Puglisi, PT

  • Physical Therapist
  • Little Falls, NJ
National Provider Identifier
1699981126
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01237800 Issued in NJ
Practice address
88 Main St
Suite 203
Little Falls, NJ 07424-1412
Phone
(877) 887-3574
Fax
(973) 595-8465
NPI assigned
May 14, 2007
Last updated
Apr 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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 025729-1 NY
Physical Therapist 225100000X 40QA01237800 NJ Primary

Addresses

Primary practice location

88 Main St
Suite 203
Little Falls, NJ 07424-1412

Mailing address

259 Indian Rd
Wayne, NJ 07470-4915
Phone (973) 568-1229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090130000600 NJ Practitioner - Physical Therapist in Private Practice 6204990575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025729-1NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Therapy Services Physical Therapist CurrentSince Mar 28, 2022 Accepting new patients
Top Rehab Care LLC Past Accepting new patients

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, 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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1699981126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 INDIAN RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704915",
            "telephone_number": "973-568-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MAIN ST",
            "address_2": "SUITE 203",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241412",
            "telephone_number": "877-887-3574",
            "fax_number": "973-595-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLISI",
        "first_name": "JO ANN",
        "middle_name": "GONZALES",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025729-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01237800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.