Individual provider Active NPI

Emily Folino, PT, DPT

  • Physical Therapist
  • Gillette, NJ
National Provider Identifier
1821620428
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01933000 Issued in NJ
Practice address
977 Valley Rd Unit G
Gillette, NJ 07933-1813
Phone
(908) 350-6650
Fax
(908) 660-4023
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 40QA01933000 NJ Primary

Addresses

Primary practice location

977 Valley Rd Unit G
Gillette, NJ 07933-1813

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (888) 830-4125

Other practice location 1

743 Sinclair Ave
Staten Island, NY 10312-2524
Phone (718) 984-9565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201208000377 NY Practitioner - Physical Therapist in Private Practice 1153733605 Reassigns benefits to 1 organization
I20201230001415 NJ Practitioner - Physical Therapist in Private Practice 1153733605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

977 Valley Rd
Unit G
Gillette, NJ 07933-1813
Phone (908) 350-6650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01933000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine and Rehabilitation Center PA Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients

Locations

70 Manheim Ave
Ste 3
Bridgeton, NJ 08302
Phone (856) 455-9700

500 Grand Ave
Ste 100
Englewood, NJ 07631
Phone (201) 227-1760

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

977 Valley Rd
Unit G
Gillette, NJ 07933
Phone (908) 350-6650

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

365 Route 304
Ste 102
Nanuet, NY 10954
Phone (845) 624-2182

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1821620428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "888-830-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 VALLEY RD UNIT G",
            "city": "GILLETTE",
            "state": "NJ",
            "postal_code": "079331813",
            "telephone_number": "908-350-6650",
            "fax_number": "908-660-4023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Sinclair Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103122524",
            "country_code": "US",
            "telephone_number": "718-984-9565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLINO",
        "first_name": "EMILY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01933000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.