Individual provider Active NPI

Bianca S Pereira, PT

  • Physical Therapist
  • Tenafly, NJ
National Provider Identifier
1760716526
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01204300 Issued in NJ
Practice address
150 County Rd Ste 1
Tenafly, NJ 07670-1847
Phone
(201) 569-6683
Fax
(201) 569-6685
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 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 40QA01204300 NJ Primary

Addresses

Primary practice location

150 County Rd Ste 1
Tenafly, NJ 07670-1847

Mailing address

150 County Rd Ste 1
Tenafly, NJ 07670-1847
Phone (201) 569-6683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091216000541 NJ Practitioner - Physical Therapist in Private Practice 6305986654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Home Assisted Living Physical Therapist CurrentSince May 8, 2025 Accepting new patients
Madison PT of New Jersey, PC Physical Therapist Past Accepting new patients
Madison Spine and Physicaltherapy, Inc. Physical Therapist Past Accepting new patients
Madison Spine Limited Partnership Physical Therapist Past Accepting new patients

Locations

685 Westwood Ave
River Vale, NJ 07675
Phone (201) 478-4260

Organizations & group practices 4

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": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1760716526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 COUNTY RD STE 1",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701847",
            "telephone_number": "201-569-6683",
            "fax_number": "201-569-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COUNTY RD STE 1",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701847",
            "telephone_number": "201-569-6683",
            "fax_number": "201-569-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "BIANCA",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01204300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.