Sportsmed PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORTSMED PT LLC

Practice address

266 Harristown Rd Ste 200
Glen Rock, NJ 07452-3354

Phone

(201) 445-7000

NPI assigned

Apr 17, 2018

Last updated

Mar 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Azar, RN

Title

Billing Director

Phone

(201) 857-0527

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations (25 of 29)

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Sportsmed Acupunture of New Jersey, LLC

  dba SportsMed Physical Therapy

  • Acupuncturist
  • Glen Rock, NJ
  • NPI 1740087303
  NPPES parent name
• Sportsmed Chiropractic of New Jersey, LLC

  dba SportsMed Physical Therapy

  • Chiropractor
  • Glen Rock, NJ
  • NPI 1407653058
  NPPES parent name

Practitioners 299

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Rebecca Altschuler

  • Occupational Therapist
  • West Orange, NJ
  • NPI 1730945460
  Medicare reassignment Care Compare group NPD
• Christina Mary Anderson, OT

  • Occupational Therapist
  • Fair Lawn, NJ
  • NPI 1184519704
  Medicare reassignment Care Compare group NPD
• Joshua Raymond Anglade, DC

  • Chiropractor
  • Toms River, NJ
  • NPI 1598304339
  Medicare reassignment Care Compare group NPD
• Zachary Badr, D.C.

  • Chiropractor
  • Robbinsville, NJ
  • NPI 1609603315
  Medicare reassignment Care Compare group NPD
• Matthew Todd Barber, DC

  • Chiropractor
  • Oakland, NJ
  • NPI 1073296265
  Medicare reassignment Care Compare group NPD
• Dane Barone, D.C

  • Chiropractor
  • Toms River, NJ
  • NPI 1477275949
  Medicare reassignment Care Compare group NPD
• Taylor Lynn Barto, OTR/L

  • Occupational Therapist
  • Woodbridge, NJ
  • NPI 1962330027
  Medicare reassignment Care Compare group NPD
• Myla Yuzon Belmonte, P.T.

  • Physical Therapist
  • Belleville, NJ
  • NPI 1184905085
  Medicare reassignment Care Compare group NPD
• Loverna Abella Bero, PT DPT

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1023557394
  Medicare reassignment Care Compare group NPD
• Randi Blitz, D.C

  • Chiropractor
  • Passaic, NJ
  • NPI 1700902541
  Medicare reassignment Care Compare group NPD
• Damier G.a Browne, OTR/L

  • Occupational Therapist
  • Jersey City, NJ
  • NPI 1356770788
  Medicare reassignment Care Compare group NPD
• Ilija Bubalo, PT, DPT

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1386364594
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1841787645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 304",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 200",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523354",
            "telephone_number": "201-445-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070112241",
            "country_code": "US",
            "telephone_number": "973-928-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "784 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin Lakes",
            "state": "NJ",
            "postal_code": "074171306",
            "country_code": "US",
            "telephone_number": "201-857-0527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 S Spring Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522624",
            "country_code": "US",
            "telephone_number": "201-857-0527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14-25 Plaza Rd",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074103546",
            "country_code": "US",
            "telephone_number": "201-797-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "197 E Franklin Tpke",
            "address_purpose": "LOCATION",
            "city": "Ho Ho Kus",
            "state": "NJ",
            "postal_code": "074231553",
            "country_code": "US",
            "telephone_number": "201-447-0346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Engle St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076312938",
            "country_code": "US",
            "telephone_number": "201-561-8398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTSMED PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "201-857-0527",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum for Living Development, Inc.
• Speech Therapy Plus LLC
• Sportsmed Acupunture of New Jersey, LLC (SportsMed Physical Therapy)
• Sportsmed Chiropractic of New Jersey, LLC (SportsMed Physical Therapy)
• Sportsmed of Glen Rock PA
• Marianna Stas, M.S., CF-SLP
• Stephan Stasiuk, DPT
• Steprite Medical Transportation
• Gail Suchanski, SLP-CCC
• Sung Lim Acupuncture, LLC

• Physical Therapist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.