Active NPI
Joan D. Timbang, PT
- Physical Therapist
- Englewood, NJ
National Provider Identifier
1972688802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00999700
- Practice address
- 155 W Hudson Ave # 175
Englewood, NJ 07631-1609 - Phone
- (201) 871-8882
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 40QA00999700 | NJ | Primary |
Addresses
Primary practice location
155 W Hudson Ave # 175
Englewood, NJ 07631-1609
Mailing address
67 S Franklin Ave
Bergenfield, NJ 07621-2015
Phone (201) 310-9785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bergenfield, NJ 07621
Phone (201) 310-9785
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022637 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post at Home LLC | Current | Accepting new patients | |
| Way Rehab Services | Physical Therapist | Current | Accepting new patients |
| Bergen Spine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Way Rehab Services | Current | Accepting new patients | |
| New York Physical and Occupational Therapy PLLC | Physical Therapist | Past | Accepting new patients |
| Medical Associates of Englewood, PC | Past | Accepting new patients |
Locations
136 N Washington Ave
Ste 103
Bergenfield, NJ 07621
Phone (201) 387-2800
Organizations & group practices 6
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.
-
- Occupational Health Chiropractor
- Bergenfield, NJ
- NPI 1992804868
Physical Therapist
-
- Physical Therapy Clinic/Center
- Bergenfield, NJ
- NPI 1649861592
-
- Rehabilitation Practitioner
- Bergenfield, NJ
- NPI 1124783196
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Physical Therapy Clinic/Center
- Woodmere, NY
- NPI 1356404198
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1972688802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 S FRANKLIN AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076212015",
"telephone_number": "201-310-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 W HUDSON AVE # 175",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311609",
"telephone_number": "201-871-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMBANG",
"first_name": "JOAN",
"middle_name": "D.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00999700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.