Active NPI
Debra Ellen Kreel, PT
- Physical Therapist
- Westwood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00374600
- Practice address
- 24 Booker Street
Westwood, NJ 07675-2619 - Phone
- (201) 822-0100
- Fax
- (201) 822-0107
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00374600 | NJ | Primary |
| Physical Therapist | 225100000X | 010648-1 | NY |
Addresses
Primary practice location
24 Booker Street
Westwood, NJ 07675-2619
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200
Other practice location 1
28-12 Broadway
Fair Lawn, NJ 07410-3924
Phone (201) 475-8482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28 -12 Broadway
Fair Lawn, NJ 07410-3924
Phone (201) 475-8482
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010648-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | Accepting new patients |
| Rockland Physical Therapy PLLC | Physical Therapist | Past | Accepting new patients |
Locations
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
656 Shrewsbury Ave
Ste 103
Tinton Falls, NJ 07701
Phone (732) 842-4198
1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749
Organizations & group practices 5
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.
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Physical Therapist
- Hoboken, NJ
- NPI 1861623753
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
-
- Physical Therapy Clinic/Center
- Suffern, NY
- NPI 1285798652
Physical Therapist
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1760546121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "631-580-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 BOOKER STREET",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076752619",
"telephone_number": "201-822-0100",
"fax_number": "201-822-0107"
}
],
"practiceLocations": [
{
"address_1": "28-12 Broadway",
"address_purpose": "LOCATION",
"city": "Fair Lawn",
"state": "NJ",
"postal_code": "074103924",
"country_code": "US",
"telephone_number": "201-475-8482",
"fax_number": "201-475-8739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREEL",
"first_name": "DEBRA",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00374600",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010648-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.