Individual provider Active NPI

Jamie Nicole Hreniuk, DPT

  • Physical Therapist
  • West Caldwell, NJ
National Provider Identifier
1821866260
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02106100 Issued in NJ
Practice address
25 Bond PL
West Caldwell, NJ 07006-8106
Phone
(973) 800-3445
NPI assigned
Dec 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02106100 NJ Primary
Physical Therapist 225100000X PT032202 PA

Addresses

Primary practice location

25 Bond PL
West Caldwell, NJ 07006-8106

Mailing address

25 Bond PL
West Caldwell, NJ 07006-8106
Phone (973) 800-3445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240618003716 SC Practitioner - Physical Therapist in Private Practice 4284177262 Reassigns benefits to 1 organization
I20250227000106 PA Practitioner - Physical Therapist in Private Practice 4284177262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartz Physical Therapy, Inc.Group PAC ID 8426023292, 24 clinicians

Practice addresses (Care Compare)

90 Good Dr
Suite 201
Lancaster, PA 17603-4360
Phone (717) 735-8880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02106100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Hartz Physical Therapy, Inc Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

90 Good Dr
Ste 201
Lancaster, PA 17603
Phone (717) 735-2070

100 Highlands Dr
Ste 100
Lititz, PA 17543
Phone (717) 625-2228

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

9512 Dorchester Rd
Ste 140
Summerville, SC 29485
Phone (843) 695-7970

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1821866260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BOND PL",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070068106",
            "telephone_number": "973-800-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BOND PL",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070068106",
            "telephone_number": "973-800-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRENIUK",
        "first_name": "JAMIE",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02106100",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.