Individual provider Active NPI

Ewa Bianco, PT

  • Physical Therapist
  • Garwood, NJ
National Provider Identifier
1710904271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00822300 Issued in NJ
Practice address
200 Cedar St
Garwood, NJ 07027-1107
Phone
(908) 232-8512
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA00822300 NJ Primary

Addresses

Primary practice location

200 Cedar St
Garwood, NJ 07027-1107

Mailing address

200 Cedar St
Garwood, NJ 07027-1107
Phone (908) 232-8512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117002103 FL Practitioner - Physical Therapist in Private Practice 5698770402 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00822300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Florida Rehability at Home, LLC Physical Therapist CurrentSince Jan 11, 2025 Accepting new patients
Prime Rehabilitation Services, Inc. Physical Therapist PastSince Jan 31, 2021 Accepting new patients

Locations

12724 Gran Bay Pkwy W
Ste 410
Jacksonville, FL 32258
Phone (612) 408-1431

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710904271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CEDAR ST",
            "city": "GARWOOD",
            "state": "NJ",
            "postal_code": "070271107",
            "telephone_number": "908-232-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CEDAR ST",
            "city": "GARWOOD",
            "state": "NJ",
            "postal_code": "070271107",
            "telephone_number": "908-232-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCO",
        "first_name": "EWA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00822300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.