Mitchell J Popielec, PT, DPT, ATC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA02169600 Issued in NJ

Practice address

3110 NJ-27 Suite 1B
Kendall Park, NJ 08824

Phone

(757) 633-7045

NPI assigned

Jan 18, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1992335954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 VICTORY RD APT 141",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811338",
            "telephone_number": "757-633-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 NJ-27 SUITE 1B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "757-633-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPIELEC",
        "first_name": "MITCHELL",
        "middle_name": "J",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-18",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA02169600",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217656",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca M Patten, M.S. OTR/L
• Megan Patterson
• Barry J Perlman, M.D.
• Eric S. Perlman, M.D.
• Twana Peterson
• Premier Supports, LLC
• Premier Supports, LLC
• Premier Supports, LLC
• Premier Supports, LLC
• Princeton Medical Care LLC

• Orthopedic Physical Therapist in Kendall Park, NJ
• Providers in Kendall Park, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.