Sportsmed PT LLC
Organization Active NPI Physical Therapist · Glen Rock, NJ
NPI 1841787645 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1841787645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 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
- Organization subpart
- No
Authorized official
- Name
- Carol Azar, RN
- Title
- Billing Director
- Phone
- (201) 857-0527
Subparts reporting this organization as parent 2
Practitioners 298
-
Zachary Badr, D.C.
-
Dane Barone, D.C
-
Taylor Lynn Barto, OTR/L
-
Myla Yuzon Belmonte, P.T.
-
Loverna Abella Bero, PT DPT
-
Randi Blitz, D.C
-
Damier G.a Browne, OTR/L
-
Ilija Bubalo, PT, DPT
-
Paul Anthony Calinog, RPT
-
Cara Marie Cardillo, OTR/L
-
Hiral Chaudhari, PT
-
Daniel Courneya, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180614001056 | NJ | Part B Supplier - Clinic/Group Practice | 0749535805 |
Receives reassigned benefits from 254 practitioners Practice locations: Mendham, NJ; Middletown, NJ; Montlcair, NJ; Mountainside, NJ; Neptune, NJ; New Brunswick, NJ; Newark, NJ; North Bergen, NJ… |
National Provider Directory
Locations
218 Bloomfield Ave
Bloomfield, NJ 07003
218 Bloomfield Ave
Bloomfield, NJ 07003
Phone (973) 750-0880
855 Valley Rd
Ste 202
Clifton, NJ 07013
Phone (973) 601-5947
572 Inman Ave
Colonia, NJ 07067
Phone (732) 382-7600
333 N Broad St
Elizabeth, NJ 07208
Phone (731) 366-3443
153 Bergen Blvd
Ste 1
Fairview, NJ 07022
Phone (201) 345-6173
1550 Lemoine Ave
Ste 207
Fort Lee, NJ 07024
1550 Lemoine Ave
Ste 101
Fort Lee, NJ 07024
Phone (201) 647-6871
784 Franklin Ave
Franklin Lks, NJ 07417
Phone (201) 560-0711
50 Main St
Spc D
Hackensack, NJ 07601
Phone (551) 230-7023
634 Summit Ave
Jersey City, NJ 07306
Phone (201) 222-9370
403 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 345-5905
19 E Main St
Ste 2
Mendham, NJ 07945
Phone (201) 270-6233
325 Claremont Ave
Unit 3
Montclair, NJ 07042
Phone (201) 345-6173
1820 Corlies Ave
Ste 12
Neptune, NJ 07753
Phone (732) 803-1340
110 Edison Pl
Ste 100
Newark, NJ 07102
Phone (973) 604-0145
85 New Rd
Parsippany, NJ 07054
Phone (973) 321-4204
215 W Front St
Ste 108
Plainfield, NJ 07060
Phone (732) 456-7320
65 Mechanic St
Ste L-5
Red Bank, NJ 07701
Phone (732) 747-0075
505 Goffle Rd
Ste 12
Ridgewood, NJ 07450
Phone (201) 932-0044
884 Commons Way
Bldg H
Toms River, NJ 08755
Phone (732) 244-7004
1225 Stuyvesant Ave
Union, NJ 07083
Phone (908) 357-1655
211 Berdan Ave
Wayne, NJ 07470
Phone (201) 249-6930
5700 Bergenline Ave
Ste 3
West New York, NJ 07093
Phone (800) 288-2592
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | |||
| Acupuncturist |
171100000X | |||
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
266 Harristown Rd Ste 200
Glen Rock, NJ 07452-3354
Mailing address
266 Harristown Rd Ste 304
Glen Rock, NJ 07452-3321
Other practice location 1
1233 Main Ave
Clifton, NJ 07011-2241
Phone (973) 928-1144
Other practice location 2
784 Franklin Ave
Franklin Lakes, NJ 07417-1306
Phone (201) 857-0527
Other practice location 3
21 S Spring Valley Rd
Paramus, NJ 07652-2624
Phone (201) 857-0527
Other practice location 4
14-25 Plaza Rd
Fair Lawn, NJ 07410-3546
Phone (201) 797-7373
Other practice location 5
197 E Franklin Tpke
Ho Ho Kus, NJ 07423-1553
Phone (201) 447-0346
Other practice location 6
102 Engle St
Englewood, NJ 07631-2938
Phone (201) 561-8398
Other providers in Glen Rock, NJ
- Spectrum for Living Development, Inc.
- Speech Therapy Plus LLC
- Sportsmed Acupunture of New Jersey, LLC
- Sportsmed Chiropractic of New Jersey, LLC
- Sportsmed of Glen Rock PA
- Marianna Stas
- Stephan Stasiuk
- Steprite Medical Transportation
- Gail Suchanski
- Sung Lim Acupuncture, LLC
All providers in Glen Rock, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.