Individual provider Active NPI

Bryan Carestia, PT, DPT, CSCS

  • Physical Therapist
  • Newtown, PA
National Provider Identifier
1740584713
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4 Terry Dr Ste 17H
Newtown, PA 18940-1838
Phone
(267) 566-1915
NPI assigned
Jan 5, 2011
Last updated
Aug 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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 NY Primary

Addresses

Primary practice location

4 Terry Dr Ste 17H
Newtown, PA 18940-1838

Mailing address

4 Terry Dr Ste 17H
Newtown, PA 18940-1838
Phone (267) 566-1915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140701001535 NJ Practitioner - Physical Therapist in Private Practice 3274717608 Reassigns benefits to 1 organization
I20201006000511 PA Practitioner - Physical Therapist in Private Practice 3274717608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Activcore Health Network LLCGroup PAC ID 9830400456, 25 clinicians

Practice addresses (Care Compare)

4 Terry Dr
Suite 17H
Newtown, PA 18940-1838
Phone (267) 331-4400

800 Bunn Dr
Suite 102
Princeton, NJ 08540-1968
Phone (800) 455-8982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Carestia, PT, DPT, CSCS Current Accepting new patients
Bryan Carestia, PT, DPT, CSCS CurrentSince Aug 23, 2020 Accepting new patients
Activcore Health Network LLC Physical Therapist CurrentSince Feb 1, 2016 Accepting new patients

Locations

2 Morristown Rd
Ste C
Bernardsville, NJ 07924

83 Princeton Ave
Ste 3B
Hopewell, NJ 08525
Phone (609) 466-9004

800 Bunn Dr
Princeton, NJ 08540
Phone (609) 683-1010

800 Bunn Dr
Ste 102
Princeton, NJ 08540
Phone (609) 466-9004

99 Clarksville Rd
West Windsor, NJ 08550
Phone (609) 683-1010

4 Terry Dr
Ste 17H
Newtown, PA 18940
Phone (267) 331-4400

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": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1740584713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TERRY DR STE 17H",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401838",
            "telephone_number": "267-566-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TERRY DR STE 17H",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401838",
            "telephone_number": "267-566-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARESTIA",
        "first_name": "BRYAN",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.