Sports Barre Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORTS BARRE PHYSICAL THERAPY LLC

Practice address

470 Old Stone Rd
Ridgewood, NJ 07450-1417

Phone

(201) 835-7664

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jillian Casella, PT, DPTNPI 1639712441

Title

Doctor of Physical Therapy

Phone

(201) 835-7664

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jillian D Casella, DPT

  • Physical Therapist
  • Livingston, NJ
  • NPI 1639712441
  NPD Authorized official

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1730873308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 OLD STONE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 OLD STONE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501417",
            "telephone_number": "201-835-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS BARRE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "CASELLA",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "201-835-7664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pamela Speck
• Lauren Spodak, LCSW
• Lia D Staada, LSW
• Maria A Staropoli-Hafner, PSY.D.
• Cara Stein, MA, CCC-SLP
• Jonathan Steinberg, M.D.
• Mitchell Steinschneider, MD

• Physical Therapist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.