5 Point Physical Therapy and Wellness LLC
Organization Active NPI Orthopedic Physical Therapist · Millburn, NJ
NPI 1992323489 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1992323489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- Legal business name
- 5 POINT PHYSICAL THERAPY AND WELLNESS LLC
- Practice address
- 318 Main St Ste 200a
Millburn, NJ 07041-1181 - Phone
- (212) 226-2066
- Fax
- (212) 500-0039
- NPI assigned
- Jul 10, 2020
- Organization subpart
- No
Authorized official
- Name
- Stacey Futterman Tauriello, PT
- Title
- President
- Phone
- (212) 226-2066
Practitioners 6
-
Jennifer Erin Lynch, D.P.T.
-
Karen M Vozzella, DPT
-
Jessica Nicole Nielson, DPT, PT, CSCS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201014000222 | NJ | Part B Supplier - Clinic/Group Practice | 8820418874 |
Receives reassigned benefits from 6 practitioners Practice locations: Millburn, NJ |
National Provider Directory
Locations
318 Main St
Ste 200A
Millburn, NJ 07041
Phone (973) 544-8381
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist |
2251X0800X | Yes | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
318 Main St Ste 200a
Millburn, NJ 07041-1181
Mailing address
4 Jennifer LN
Maplewood, NJ 07040-1365
Phone (773) 991-3382
Other providers in Millburn, NJ
All providers in Millburn, NJ · Orthopedic Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.