Ronaldo Portuguez, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01095400 Issued in NJ

Practice address

521 Tilton Rd
Northfield, NJ 08225-1217

Phone

(609) 645-9100

Fax

(609) 645-9141

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Max Potential RehabGroup PAC ID 9234595984, 9 clinicians

Med a Quest LLCGroup PAC ID 2264838374, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Max Potential Rehab

  • Occupational Therapist
  • Mount Laurel, NJ
  • NPI 1689371544

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Med a Quest, LLC

  • Physical Therapy Clinic/Center
  • Egg Harbor TWP, NJ
  • NPI 1306416201

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Restore Life Home Care LLC

  • Physical Therapist
  • Mays Landing, NJ
  • NPI 1255664355
  NPD Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851326235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251217",
            "telephone_number": "609-645-9100",
            "fax_number": "609-645-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251217",
            "telephone_number": "609-645-9100",
            "fax_number": "609-645-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTUGUEZ",
        "first_name": "RONALDO",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01095400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Choice Dialysis of Northfield LLC (PCD Northfield)
• Jennifer Anne Pierpoint, OTR/L
• Danielle Piscal
• Platinum Providers Group LLC
• Jackson Pokres, PMHNP -BC
• Laura J Potter, MSW, LCSW
• Prestige of Northfield Amdc, LLC
• Francis W Previti, MD
• Ashley Procopio, PA-C
• Progressive Applied Behavioral Treatment (Connect Plus Therapy)

• Physical Therapist in Northfield, NJ
• Providers in Northfield, 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 Jul 8, 2007; 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.