Individual provider Active NPI

Kelly Michelle Tripi, DPT

  • Physical Therapist
  • Wayne, NJ
National Provider Identifier
1780777987
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA001002500 Issued in NJ
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

Updated by the provider on May 16, 2012

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 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 IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 5597859884, 24 clinicians

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 100Reported as group
Quality
93.63
Promoting interoperability
99
Improvement activities
40
Cost
69.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA001002500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Spine Group LLC CurrentSince Oct 10, 2023 Accepting new patients
Progressive Spine & Orthopaedics, LLC Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
Progressive Spine & Orthopaedics, LLC Physical Therapist CurrentSince Jul 18, 2022 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.