Skyline Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SKYLINE PHYSICAL THERAPY LLC

Practice address

15B Brookside HTS
Wanaque, NJ 07465-1638

Phone

(845) 641-4637

NPI assigned

May 23, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Lidio Damiani, DPTNPI 1396012795

Title

Owner

Phone

(845) 641-4637

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Capozzi, PT, DPT

  • Physical Therapist
  • Oakland, NJ
  • NPI 1124449590
  Medicare reassignment Care Compare group NPD
• Joseph Lidio Damiani, DPT

  • Physical Therapist
  • Wanaque, NJ
  • NPI 1396012795
  Medicare reassignment NPD Authorized official
• Anna Kazmierczak, PT,DPT

  • Physical Therapist
  • Upper Saddle River, NJ
  • NPI 1063801595
  Medicare reassignment Care Compare group NPD
• Mark Christopher Balzotti

  • Physical Therapist
  • Boonton, NJ
  • NPI 1225684038
  Medicare reassignment NPD
• Karen A Garrett, DPT

  • Physical Therapist
  • Oakland, NJ
  • NPI 1326269663
  Medicare reassignment NPD
• Mark Bradford Holmes, DPT

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1720503444
  Medicare reassignment NPD
• Kurt Weinmann, DPT

  • Orthopedic Physical Therapist
  • Wayne, NJ
  • NPI 1760007603
  Medicare reassignment NPD

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1780241851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15B BROOKSIDE HTS",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "074651638",
            "telephone_number": "845-641-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15B BROOKSIDE HTS",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "074651638",
            "telephone_number": "845-641-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "DAMIANI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LIDIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-641-4637",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sabrina Qanaah, M.S., CCC-SLP
• Anthony Romeo
• Shippees Pharmacy Inc
• Visology Inc
• Jacquelynn Vogel
• Jamie Woods, MS, RDN
• Lena Yaghan, LCSW

• Physical Therapy Clinic/Center in Wanaque, NJ
• Providers in Wanaque, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.