James Digregorio, PT, DPT

Individual provider Active NPI Physical Therapist · Closter, NJ

NPI 1902386659 · NPPES record last updated Aug 21, 2018

Key facts

NPI
1902386659
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA01810600 (NJ)
Practice address
31 Ver Valen St
Closter, NJ 07624-2699
Phone
(201) 784-2700
NPI assigned
Aug 21, 2018
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Health Center of Closter PC (11 clinicians)
The Spine and Health Center of Montvale (14 clinicians)

Practice addresses (Care Compare)

31 Ver Valen St
Closter, NJ 07624-2699
Phone (201) 784-2700

32 Philips Pkwy
Montvale, NJ 07645-1811
Phone (201) 746-6577

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180925001235 NJ Practitioner - Physical Therapist in Private Practice 8729339130 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Health Center of Closter PC Single Specialty Current
since Aug 27, 2018
Accepting new patients
The Spine and Health Center of Montvale Single Specialty Current
since Aug 27, 2018
Accepting new patients

Locations

31 Ver Valen St
Closter, NJ 07624
Phone (201) 784-2700

32 Philips Pkwy
Montvale, NJ 07645
Phone (201) 494-4479

2 S Kinderkamack Rd
Ste 208
Montvale, NJ 07645
Phone (201) 746-6577

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 40QA01810600 NJ Yes

Addresses

Primary practice location

31 Ver Valen St
Closter, NJ 07624-2699

Mailing address

31 Ver Valen St
Closter, NJ 07624-2699
Phone (201) 784-2700

Other providers in Closter, NJ

All providers in Closter, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.