Individual provider Active NPI

Brianna Callison, PT, DPT

  • Physical Therapist
  • Wyckoff, NJ
National Provider Identifier
1861892713
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01564600 Issued in NJ
Practice address
637 Wyckoff Ave Ste 25
Wyckoff, NJ 07481-1442
Phone
(201) 848-4599
Fax
(201) 848-6336
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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 40QA01564600 NJ Primary

Addresses

Primary practice location

637 Wyckoff Ave Ste 25
Wyckoff, NJ 07481-1442

Mailing address

11 Eagle Rock Ave Ste 201
East Hanover, NJ 07936-3167
Phone (973) 887-9000

Other practice location 1

141 W Pleasant Ave
Maywood, NJ 07607-1333
Phone (201) 843-0026

Other names 1

  • Brianna Caperonis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141031000285 NJ Practitioner - Physical Therapist in Private Practice 3274754494 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

184 Godwin Ave
Midland Park, NJ 07432-1897
Phone (845) 519-9136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Oct 26, 2018 Accepting new patients
Raise the Bar Physical Therapy PC Physical Therapist CurrentSince Feb 28, 2025 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Oct 26, 2018 Accepting new patients
Madison Spine and Physicaltherapy, Inc. Physical Therapist Past Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients
Madison PT of New Jersey, PC Physical Therapist Past Accepting new patients
Kessler Institute for Rehabilitation, Inc. Past Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

279 3rd Ave
Ste 206
Long Branch, NJ 07740
Phone (732) 222-2121

3219 US Highway 46
Ste 101
Parsippany, NJ 07054
Phone (973) 299-2199

637 Wyckoff Ave
Ste 25
Wyckoff, NJ 07481
Phone (201) 848-4599

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1861892713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE STE 201",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WYCKOFF AVE STE 25",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811442",
            "telephone_number": "201-848-4599",
            "fax_number": "201-848-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 W Pleasant Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "NJ",
            "postal_code": "076071333",
            "country_code": "US",
            "telephone_number": "201-843-0026",
            "fax_number": "201-843-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLISON",
        "first_name": "BRIANNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01564600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "CAPERONIS",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.