Individual provider Active NPI

Rachelle Mae Salas Ayonayon

  • Physical Therapist
  • Lakewood, NJ
National Provider Identifier
1982050654
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
282D Cedarbridge Ave
Lakewood, NJ 08701-4265
Phone
(732) 987-5122
NPI assigned
May 11, 2016
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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 NU Primary

Addresses

Primary practice location

282D Cedarbridge Ave
Lakewood, NJ 08701-4265

Mailing address

2231 78TH St
Brooklyn, NY 11214-1503
Phone (347) 439-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160711000074 NY Practitioner - Physical Therapist in Private Practice 8729370879 Reassigns benefits to 3 organizations
I20231114002130 NJ Practitioner - Physical Therapist in Private Practice 8729370879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergen Medical Sports and Spine, Inc.Group PAC ID 8022203033, 15 clinicians

Practice addresses (Care Compare)

1 Sears Dr
Paramus, NJ 07652-3510
Phone (201) 261-5220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039756NYMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients
Resilience Physical Therapy PLLC Physical Therapist CurrentSince Oct 18, 2022 Accepting new patients
Nya Physical Therapy PC Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Profitness Physical Therapy PC Physical Therapist CurrentSince May 1, 2019 Accepting new patients
Bergen Medical Sports & Spine, Inc. CurrentSince Sep 12, 2023 Accepting new patients
Profitness Physical Therapy Past Accepting new patients

Locations

10 E 22nd St
Bayonne, NJ 07002
Phone (201) 339-8889

1 Sears Dr
Ste 305
Paramus, NJ 07652
Phone (201) 261-5220

50 Court St
Ste 1210
Brooklyn, NY 11201
Phone (718) 858-6546

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

171 E 84th St
Fl 2
New York, NY 10028
Phone (212) 327-0600

62 E 1st St
Ofc Ln
New York, NY 10003
Phone (646) 907-9593

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, 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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1982050654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 78TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141503",
            "telephone_number": "347-439-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282D CEDARBRIDGE AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014265",
            "telephone_number": "732-987-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYONAYON",
        "first_name": "RACHELLE MAE",
        "middle_name": "SALAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.