Individual provider Active NPI

Paolo Enrique Juanon Llamado, DPT, PT

  • Physical Therapist
  • Linden, NJ
National Provider Identifier
1760174726
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10 N Wood Ave
Linden, NJ 07036-5200
Phone
(908) 774-9776
NPI assigned
May 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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 Primary

Addresses

Primary practice location

10 N Wood Ave
Linden, NJ 07036-5200

Mailing address

219 W Morris Ave
Linden, NJ 07036-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230823003947 OR Practitioner - Physical Therapist in Private Practice 2163885179 Reassigns benefits to 1 organization
I20240809001986 NJ Practitioner - Physical Therapist in Private Practice 2163885179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

10 N Wood Ave
Linden, NJ 07036-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

1777 Coburg Rd
Ste 3
Eugene, OR 97401
Phone (541) 505-8041

2490 Willamette St
Ste 5
Eugene, OR 97405
Phone (541) 844-1728

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1760174726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W MORRIS AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365200",
            "telephone_number": "908-774-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLAMADO",
        "first_name": "PAOLO ENRIQUE",
        "middle_name": "JUANON",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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.