Individual provider Active NPI

Amanda Marie Montecalvo, PT, DPT

  • Physical Therapist
  • Northfield, NJ
National Provider Identifier
1871108530
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01957500 Issued in NJ
Practice address
1224 Tilton Rd
Northfield, NJ 08225-1809
Phone
(609) 926-1161
Fax
(609) 926-3223
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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 40QA01957500 NJ Primary
Physical Therapist 225100000X 302727 CA

Addresses

Primary practice location

1224 Tilton Rd
Northfield, NJ 08225-1809

Mailing address

224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
Phone (856) 677-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200928001789 NJ Practitioner - Physical Therapist in Private Practice 9638598402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Institute for Pain ReliefGroup PAC ID 0648622217, 11 clinicians

Practice addresses (Care Compare)

401 Route 70 E
Suite 208
Cherry Hill, NJ 08034-2410
Phone (856) 281-1004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01957500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Institute for Pain Relief Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
Brigantine Physical Therapy and Fitness LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

3103 W Brigantine Ave
Brigantine, NJ 08203
Phone (609) 264-5403

401 Route 70 E
Ste 208
Cherry Hill, NJ 08034
Phone (856) 281-1004

401 New Rd
Ste 210
Linwood, NJ 08221
Phone (609) 601-2159

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1871108530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 STRAWBRIDGE DR STE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574602",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251809",
            "telephone_number": "609-926-1161",
            "fax_number": "609-926-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTECALVO",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01957500",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.