Individual provider Active NPI

Daniel M. Spinelli, PT, DPT

  • Physical Therapist
  • North Caldwell, NJ
National Provider Identifier
1962914499
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01758500 Issued in NJ
Practice address
6 Orient Way
North Caldwell, NJ 07006-3908
Phone
(201) 452-8677
NPI assigned
Oct 24, 2017
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 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 40QA01758500 NJ Primary

Addresses

Primary practice location

6 Orient Way
North Caldwell, NJ 07006-3908

Mailing address

6 Orient Way
North Caldwell, NJ 07006-3908
Phone (201) 452-8677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171213000163 NJ Practitioner - Physical Therapist in Private Practice 5193083525 Reassigns benefits to 1 organization
I20190513001662 NY Practitioner - Physical Therapist in Private Practice 5193083525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

323 Marin Blvd
Jersey City, NJ 07302-3698
Phone (551) 222-4520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043986NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Feb 25, 2019 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince May 1, 2020 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

323 Marin Blvd
Jersey City, NJ 07302
Phone (551) 222-4520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

900 Route 9 N
Ste 410
Woodbridge, NJ 07095

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

274 Madison Ave
Fl 2
New York, NY 10016
Phone (464) 678-5995

976 Amsterdam Ave
New York, NY 10025
Phone (212) 222-9305

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1962914499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ORIENT WAY",
            "city": "NORTH CALDWELL",
            "state": "NJ",
            "postal_code": "070063908",
            "telephone_number": "201-452-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ORIENT WAY",
            "city": "NORTH CALDWELL",
            "state": "NJ",
            "postal_code": "070063908",
            "telephone_number": "201-452-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINELLI",
        "first_name": "DANIEL",
        "middle_name": "M.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-24",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01758500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.