Pro Staff Physical Therapy Pc - Medicare in Nutley, NJ

  1. Home
Pro Staff Physical Therapy Pc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Nutley, New Jersey. Their current practice location is 265 Franklin Ave, Nutley, New Jersey. You can reach out to their office (for appointments etc.) via phone at (973) 661-1207.

Pro Staff Physical Therapy Pc is licensed to practice in New Jersey (license number 40QA00255900) and it also participates in the medicare program. Pro Staff Physical Therapy Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1265750871.

Contact Information

Pro Staff Physical Therapy Pc
265 Franklin Ave,
Nutley, NJ 07110-2712
(973) 661-1207
(973) 661-1843

Map and Direction




Healthcare Provider's Profile

Full NamePro Staff Physical Therapy Pc
TypeFacility
SpecialityClinic/center - Physical Therapy
Location265 Franklin Ave, Nutley, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265750871
  • Provider Enumeration Date: 05/06/2010
  • Last Update Date: 02/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4385826064
  • Enrollment ID: O20110317000124

Medical Identifiers

Medical identifiers for Pro Staff Physical Therapy Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265750871NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy 40QA00255900 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pro Staff Physical Therapy Pc acts as a billing entity for following providers:
Provider NameCynthia V Principato
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1295768505
PECOS PAC ID: 9133118953
Enrollment ID: I20040507000796
Provider NameShulamit Lerman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699845297
PECOS PAC ID: 9436124112
Enrollment ID: I20040826001001
Provider NameCatherine M Jobson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881782944
PECOS PAC ID: 6305800673
Enrollment ID: I20041116000922
Provider NameKaren M Hancheck
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1154360600
PECOS PAC ID: 0143258012
Enrollment ID: I20050801001262
Provider NameBrian S Fallon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073695581
PECOS PAC ID: 8628079993
Enrollment ID: I20070130000105
Provider NameAnnie Olivia Barnett
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1760513899
PECOS PAC ID: 6204933187
Enrollment ID: I20070530000212
Provider NameMatthew J Lannin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487736989
PECOS PAC ID: 3779682034
Enrollment ID: I20070627000335
Provider NameRina H Desai
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780633297
PECOS PAC ID: 9436240769
Enrollment ID: I20070801000203
Provider NameMargaret Senn
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1528122843
PECOS PAC ID: 4981798345
Enrollment ID: I20070917000489
Provider NameNoreen M Boyle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629297528
PECOS PAC ID: 4688768591
Enrollment ID: I20070924000194
Provider NameKristen Faigle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396978839
PECOS PAC ID: 6709923832
Enrollment ID: I20091022000413
Provider NameCarlos A Ospina
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891028429
PECOS PAC ID: 3870630353
Enrollment ID: I20091103000070
Provider NameTimothy G Olson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255666541
PECOS PAC ID: 8527106244
Enrollment ID: I20091117000264
Provider NameJessica Lynn De Palma
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841508256
PECOS PAC ID: 5799964805
Enrollment ID: I20110121000246
Provider NameSuja K Jose
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477852358
PECOS PAC ID: 0648479188
Enrollment ID: I20110324000269
Provider NameStephanie M Rinaldi
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1124326087
PECOS PAC ID: 8022295005
Enrollment ID: I20110531000036
Provider NameNicole Stodolak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689928236
PECOS PAC ID: 0840445813
Enrollment ID: I20130222000229
Provider NameAthena M Throckmorton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699011650
PECOS PAC ID: 8820235724
Enrollment ID: I20130514000217
Provider NameRoger H Avecillas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477988061
PECOS PAC ID: 1153556931
Enrollment ID: I20131102000187
Provider NameKwaku Opoku-nsiah
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053741348
PECOS PAC ID: 3274762802
Enrollment ID: I20140131000588
Provider NameKyle C D'amico
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194121814
PECOS PAC ID: 4486971181
Enrollment ID: I20150317002169
Provider NameRebecca Callahan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205223302
PECOS PAC ID: 1759601255
Enrollment ID: I20150526000244
Provider NameLucas Herget
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831565514
PECOS PAC ID: 0941517734
Enrollment ID: I20150910001975
Provider NameMichael Durante
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700255072
PECOS PAC ID: 6800105693
Enrollment ID: I20151019000030
Provider NameTodd Zafonte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174990279
PECOS PAC ID: 9133438724
Enrollment ID: I20151022000122
Provider NameYeeria Yee
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700820867
PECOS PAC ID: 7517268584
Enrollment ID: I20151216000784
Provider NameJason E Martinez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003297672
PECOS PAC ID: 6305143918
Enrollment ID: I20160328000069
Provider NameAndrew Bernstein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730389115
PECOS PAC ID: 1254622657
Enrollment ID: I20160615000382
Provider NameAna Carolina Hidalgo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255789236
PECOS PAC ID: 4880987841
Enrollment ID: I20160728000525
Provider NameJanelle Bang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528514544
PECOS PAC ID: 1355638974
Enrollment ID: I20160926002374
Provider NameMichael Sowinski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083157655
PECOS PAC ID: 1254612070
Enrollment ID: I20170110000009
Provider NameLacey A Silvano
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1346763133
PECOS PAC ID: 4587937008
Enrollment ID: I20170906000134
Provider NameJessica Howard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720380835
PECOS PAC ID: 7113291501
Enrollment ID: I20170925000059
Provider NameSandeep K Suri
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1912284944
PECOS PAC ID: 1951677806
Enrollment ID: I20171021000016
Provider NameJasmine Scarborough
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780196014
PECOS PAC ID: 6608138094
Enrollment ID: I20180323000293
Provider NameClaudia Okulicz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871011643
PECOS PAC ID: 9335401348
Enrollment ID: I20180402000928
Provider NameRobert Jaworski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740771484
PECOS PAC ID: 7214283811
Enrollment ID: I20180712001687
Provider NameDavid Hotaling
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972071793
PECOS PAC ID: 4688918303
Enrollment ID: I20181207000195
Provider NameAlyssa M Dorney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447720081
PECOS PAC ID: 1153667639
Enrollment ID: I20190104001885
Provider NameLaura Rose Deluca
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205317294
PECOS PAC ID: 9830430420
Enrollment ID: I20190409000427
Provider NameChaya M Schachter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1043600174
PECOS PAC ID: 6507108784
Enrollment ID: I20190509000401
Provider NameMichael Streifer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568920791
PECOS PAC ID: 9537492418
Enrollment ID: I20190607001296
Provider NameChristopher Tyler Durante
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659835114
PECOS PAC ID: 3072848423
Enrollment ID: I20190709000045
Provider NameKatie A Richter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1518523323
PECOS PAC ID: 1759617467
Enrollment ID: I20190801001347
Provider NameVictoria O Adeyinka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275092330
PECOS PAC ID: 8022347962
Enrollment ID: I20190903000525
Provider NameKarolina Adamkiewicz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508384272
PECOS PAC ID: 4385973064
Enrollment ID: I20190905000828
Provider NamePaul Giordano
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1447741319
PECOS PAC ID: 8325378953
Enrollment ID: I20190925001295
Provider NameMichael Borst
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578110565
PECOS PAC ID: 2365774338
Enrollment ID: I20191023003020
Provider NamePhillip John Polentarutti
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376185546
PECOS PAC ID: 6901238252
Enrollment ID: I20191107001790
Provider NameRichie Kumar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235787490
PECOS PAC ID: 8628400587
Enrollment ID: I20191114000326
Provider NameAndrew Matos
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205484680
PECOS PAC ID: 1254765357
Enrollment ID: I20191226000547
Provider NameTodd Muoio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679111470
PECOS PAC ID: 7012342413
Enrollment ID: I20200113001371
Provider NameAndres Chacon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366074148
PECOS PAC ID: 5294163101
Enrollment ID: I20200306001660
Provider NameSarah Hicks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235740630
PECOS PAC ID: 9335567726
Enrollment ID: I20200917000210
Provider NameBrett Ploshnick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720692387
PECOS PAC ID: 7911326046
Enrollment ID: I20200923001323
Provider NameElizabeth Foley
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134726961
PECOS PAC ID: 5294155677
Enrollment ID: I20201023002395
Provider NameAlisha Shah
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841897410
PECOS PAC ID: 7719307073
Enrollment ID: I20201026003324
Provider NameMahalia Elaine S Ong
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003011156
PECOS PAC ID: 1052725835
Enrollment ID: I20210208000968
Provider NameOlivia Cieslar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235717398
PECOS PAC ID: 0749697977
Enrollment ID: I20210406000003
Provider NameChristopher Rossi Tillson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891374286
PECOS PAC ID: 3678980737
Enrollment ID: I20210407003172
Provider NameJeffrey A Esteves
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861062051
PECOS PAC ID: 8729481775
Enrollment ID: I20210728001387
Provider NameMuneer Khalid Obeidallah
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477162097
PECOS PAC ID: 4183028970
Enrollment ID: I20210802000162
Provider NameTerence Marron
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1245903293
PECOS PAC ID: 7012311798
Enrollment ID: I20210803000276
Provider NameChris Mathew
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588236434
PECOS PAC ID: 6507260759
Enrollment ID: I20210810001747
Provider NameRodney D Bravo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134897382
PECOS PAC ID: 6204232648
Enrollment ID: I20210909002170
Provider NameErin Lang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629747456
PECOS PAC ID: 4284031998
Enrollment ID: I20210923000332
Provider NameArav Shah
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114694015
PECOS PAC ID: 6507263944
Enrollment ID: I20210928000002
Provider NameKayla Dawn Campbell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477225431
PECOS PAC ID: 2567860299
Enrollment ID: I20211012000374
Provider NameMarissa A Fragapane
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629731112
PECOS PAC ID: 9335538602
Enrollment ID: I20211109000437
Provider NameKevin Pineda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386300697
PECOS PAC ID: 5890184543
Enrollment ID: I20211118000203
Provider NameYash Doshi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811655988
PECOS PAC ID: 1951793694
Enrollment ID: I20220110001259
Provider NameDerek Joseph Hendershot
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821743303
PECOS PAC ID: 1759775299
Enrollment ID: I20220228001768
Provider NameRyan Robert Vrindten
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649926924
PECOS PAC ID: 1557757465
Enrollment ID: I20220401000309
Provider NameLady Jessenia Canar
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1912656489
PECOS PAC ID: 0840686515
Enrollment ID: I20220405002440
Provider NameMitchell Kun
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104422195
PECOS PAC ID: 9436562857
Enrollment ID: I20220729001610
Provider NameJaclyn Frasca
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487386710
PECOS PAC ID: 2860874369
Enrollment ID: I20220801000114
Provider NameAnthony Cabrera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639807282
PECOS PAC ID: 9133503923
Enrollment ID: I20220829000021
Provider NameShivani Vyas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538898671
PECOS PAC ID: 1759767650
Enrollment ID: I20220929002596
Provider NameKrusha Amin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972229557
PECOS PAC ID: 4284001470
Enrollment ID: I20221101000023
Provider NameFranklin Roque
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073218525
PECOS PAC ID: 2163887415
Enrollment ID: I20230420002381
Provider NameLindsay Mae Sullivan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922653245
PECOS PAC ID: 7416312160
Enrollment ID: I20230502001170
Provider NameCharmil Desai
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225728041
PECOS PAC ID: 2264898741
Enrollment ID: I20230525003253
Provider NameAndie V Ackerman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164206967
PECOS PAC ID: 4688037013
Enrollment ID: I20230831003187
Provider NameMoura Ibrahim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497438287
PECOS PAC ID: 8224492244
Enrollment ID: I20230911000015
Provider NameAndy Akdemir
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093591414
PECOS PAC ID: 5294189726
Enrollment ID: I20231002002387
Provider NameGiuliana M Guarino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164206892
PECOS PAC ID: 0244685188
Enrollment ID: I20231012000078
Provider NameHeather Anne Montemurro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518458702
PECOS PAC ID: 7911353289
Enrollment ID: I20231023001402
Provider NameSusan Kushner
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1396426029
PECOS PAC ID: 2163878471
Enrollment ID: I20231023002956
Provider NameFrancis Dela Torre
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053185124
PECOS PAC ID: 0143679464
Enrollment ID: I20231212003473

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pro Staff Physical Therapy Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pro Staff Physical Therapy Pc
265 Franklin Ave,
Nutley, NJ 07110-2712

Ph: (973) 661-1207		Pro Staff Physical Therapy Pc
265 Franklin Ave,
Nutley, NJ 07110-2712

Ph: (973) 661-1207

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.