Individual provider Active NPI

Ronald Ray Sales, P.T.

  • Physical Therapist
  • Passaic, NJ
National Provider Identifier
1730222829
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40QA01129300 Issued in NJ
Practice address
831 Main Ave Ste 3
Passaic, NJ 07055-8400
Phone
(973) 955-2850
Fax
(973) 955-2851
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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 024922 NY
Physical Therapist 225100000X PT40QA01129300 NJ Primary

Addresses

Primary practice location

831 Main Ave Ste 3
Passaic, NJ 07055-8400

Mailing address

831 Main Ave Ste 3
Passaic, NJ 07055-8400
Phone (973) 955-2850

Other identifiers 2

IdentifierTypeStateIssuer
024922OtherNYLICENSE
PT40QA01129300OtherNJNJ LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140408001410 NJ Practitioner - Physical Therapist in Private Practice 3678670338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024922NYMDClinical Social Worker
PT40QA01129300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Physical Therapy and Sports Medicine Corp Physical Therapist CurrentSince Jul 28, 2013 Accepting new patients

Locations

831 Main Ave
Ste 3
Passaic, NJ 07055
Phone (973) 778-7781

15 N 5th St
Ste 106
Saddle Brook, NJ 07663
Phone (201) 250-8808

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1730222829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 MAIN AVE STE 3",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558400",
            "telephone_number": "973-955-2850",
            "fax_number": "973-955-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 MAIN AVE STE 3",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558400",
            "telephone_number": "973-955-2850",
            "fax_number": "973-955-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALES",
        "first_name": "RONALD",
        "middle_name": "RAY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024922",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA01129300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "024922",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "PT40QA01129300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.