Active NPI
Nicholas Scaglione, LICENSED PTA
- Physical Therapy Assistant
- Wayne, NJ
National Provider Identifier
1902541501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00289600
- Practice address
- 899 Pines Lake Dr W
Wayne, NJ 07470-6107 - Phone
- (201) 744-5740
- NPI assigned
- Apr 28, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00289600 | NJ | Primary |
Addresses
Primary practice location
899 Pines Lake Dr W
Wayne, NJ 07470-6107
Mailing address
1253 Valley Rd Apt a
Wayne, NJ 07470-7978
Phone (201) 744-5740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QB00289600 | NJ | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M&Ntherapyllc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Wayne, NJ
- NPI 1346985942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1902541501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1253 VALLEY RD APT A",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707978",
"telephone_number": "201-744-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 PINES LAKE DR W",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706107",
"telephone_number": "201-744-5740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCAGLIONE",
"first_name": "NICHOLAS",
"credential": "LICENSED PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-28",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00289600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.