Active NPI
Kelly Michelle Tripi, DPT
- Physical Therapist
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA001002500
- Practice address
- 601 Hamburg Tpke
Suite 101
Wayne, NJ 07470-2048 - Phone
- (973) 341-3991
- Fax
- (973) 942-6339
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA001002500 | NJ | Primary |
Addresses
Primary practice location
601 Hamburg Tpke
Suite 101
Wayne, NJ 07470-2048
Mailing address
21 Cypress Ave
Haledon, NJ 07508-1009
Phone (201) 638-0250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120620000104 | NJ | Practitioner - Physical Therapist in Private Practice | 2264492156 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Jersey Spine Group LLC
Practice addresses (Care Compare)
1680 Route 23
Suite 250
Wayne, NJ 07470-7520
Phone (201) 445-9327
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.72 of 100
- Quality
- 93.63
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 69.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA001002500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Jersey Spine Group LLC | Current | Accepting new patients | |
| Progressive Spine & Orthopaedics, LLC | Physical Therapist | Current | Accepting new patients |
| Progressive Spine & Orthopaedics, LLC | Physical Therapist | Current | Accepting new patients |
Locations
440 Curry Ave
Ste A
Englewood, NJ 07631
Phone (201) 227-1299
208 Harristown Rd
Lowr 1
Glen Rock, NJ 07452
Phone (201) 371-3932
205 Robin Rd
Ste 320
Paramus, NJ 07652
Phone (201) 408-5506
1680 State Route 23
Ste 250
Wayne, NJ 07470
Phone (201) 445-9327
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBIDAD
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.
-
- Physical Medicine & Rehabilitation Physician
- Glen Rock, NJ
- NPI 1013598150
NJ, Physical Therapist
-
- Physical Therapist
- Perth Amboy, NJ
- NPI 1801222476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1780777987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CYPRESS AVE",
"city": "HALEDON",
"state": "NJ",
"postal_code": "075081009",
"telephone_number": "201-638-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HAMBURG TPKE",
"address_2": "SUITE 101",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702048",
"telephone_number": "973-341-3991",
"fax_number": "973-942-6339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPI",
"first_name": "KELLY",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA001002500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.