Minttu Nykaenen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01866000 Issued in NJ

Practice address

1355 15TH St
Fort Lee, NJ 07024-2039

Phone

(201) 224-8717

NPI assigned

Jul 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liberty Physical Therapy PCGroup PAC ID 2961678537, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.87 of 100Reported as group

Quality

88.31

Improvement activities

40

Cost

69.4

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Liberty Physical Therapy PC

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1669768735
  Medicare reassignment Care Compare group NPD
• Fox Rehabilitation Physical Therapy Services LLC

  • Physical Therapist
  • New York, NY
  • NPI 1174560650
  Medicare reassignment NPD

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1750933156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015914",
            "telephone_number": "201-488-0488",
            "fax_number": "201-488-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 15TH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242039",
            "telephone_number": "201-224-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYKAENEN",
        "first_name": "MINTTU",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01866000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Jersey Dental Group, PA
• North Jersey Diagnostics Group
• North Jersey Psychiatric Associates, P.C.
• Nutrition & Health Center Inc.
• Nutritional Services LLC
• Jonathan Odinsky
• Francis Oh, DDS, MS, MA
• Jae Yong Oh, DDS
• Sherry Oh
• Ye Eun Oh

• Physical Therapist in Fort Lee, NJ
• Providers in Fort Lee, 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 Jul 15, 2019; 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.