Individual provider Active NPI

Irene Whelan

  • Physical Therapist
  • Englewood, NJ
National Provider Identifier
1750776035
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00611300 Issued in NJ
Practice address
401 S Van Brunt St
Englewood, NJ 07631
Phone
(201) 569-2770
NPI assigned
Apr 2, 2015
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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 40QA00611300 NJ Primary

Addresses

Primary practice location

401 S Van Brunt St
Englewood, NJ 07631

Mailing address

401 S Van Brunt St
Englewood, NJ 07631-4604
Phone (201) 569-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00611300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
The Spine and Health Center of Montvale Physical Therapist CurrentSince Apr 1, 2015 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Apr 15, 2016 Accepting new patients
Balanced Body Rehabilitation LLC Physical Therapist CurrentSince May 24, 2018 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Sep 1, 2019 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

177 N Dean St
Ste 3
Englewood, NJ 07631
Phone (201) 408-4477

401 S Van Brunt St
Ste 3
Englewood, NJ 07631

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

32 Philips Pkwy
Montvale, NJ 07645
Phone (201) 494-4479

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

111 Dean Dr
Ste 1N
Tenafly, NJ 07670
Phone (201) 402-7802

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 7

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1750776035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314604",
            "telephone_number": "201-569-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-569-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00611300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.