Individual provider Active NPI

Hope Chona Tan Villanueva, P.T.

  • Physical Therapist
  • Nutley, NJ
National Provider Identifier
1982656195
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01016800 Issued in NJ
Practice address
34 Briar LN
Nutley, NJ 07110-3002
Phone
(201) 699-2925
Fax
(201) 699-2925
NPI assigned
May 16, 2006
Last updated
Apr 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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 40QA01016800 NJ Primary

Addresses

Primary practice location

34 Briar LN
Nutley, NJ 07110-3002

Mailing address

34 Briar LN
Nutley, NJ 07110-3002
Phone (201) 699-2925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060629000295 NJ Practitioner - Physical Therapist in Private Practice 8224040605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Plus PCGroup PAC ID 7012974405, 2 clinicians

Practice addresses (Care Compare)

33 Riverview Dr
Wayne, NJ 07470-3101
Phone (973) 694-4450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01016800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Plus, PC CurrentSince Jan 10, 2024 Accepting new patients
Active Health Physical Therapy Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Seniorcare Rehab, LLC Physical Therapist PastSince Jul 3, 2019 Accepting new patients

Locations

33 Riverview Dr
Wayne, NJ 07470
Phone (973) 694-4450

Organizations & group practices 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1982656195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BRIAR LN",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103002",
            "telephone_number": "201-699-2925",
            "fax_number": "201-699-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BRIAR LN",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103002",
            "telephone_number": "201-699-2925",
            "fax_number": "201-699-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "HOPE CHONA",
        "middle_name": "TAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01016800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.