SPORTS MEDICINE CENTER OF BERGEN, PA (NPI# 1477091270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477091270 |
| Entity Type | Organization |
| Organization Name | SPORTS MEDICINE CENTER OF BERGEN, PA |
| Other Organization Name | EXCEL ORTHOPEDIC REHABILITATION |
| Practice Address |
216 Old Tappan Road, Suite 56-58d Old Tappan NJ 07675 |
| Mailing Address |
605 Main St Hackensack NJ 07601-5914 |
| Practice Telephone | 2017815700 |
| Mailing Telephone | 2014880488 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |
| Authorized Official Name | GARY FLINK (OWNER) |
| Authorized Official Telephone | 2014880488 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Excel Orthopedic Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158758 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 555 S Livingston Ave, Livingston, NJ 07039-5410 | 2019-01-14 |
| 1487124368 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 410 Springfield Ave, Berkeley Heights, NJ 07922-1107 | 2018-12-04 |
| 1346730645 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 33 Union Pl, Summit, NJ 07901-3650 | 2018-05-14 |
| 1235644535 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 333 15th Street, Suite 3b, Hoboken, NJ 07030 | 2017-12-08 |
| 1073995304 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 1019 Macarthur Blvd, Excel Orthopedic Rehabilitation, Mahwah, NJ 07430 | 2015-06-23 |
| 1801134804 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 15 S Kinderkamack Rd, Montvale, NJ 07645-2112 | 2013-01-25 |
| 1366734535 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 301 Route 17, Rutherford, NJ 07070-2575 | 2011-05-06 |
| 1124310388 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 32 Piermont Rd, Cresskill, NJ 07626-2148 | 2011-05-06 |
| 1154595197 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 136 Hopper Ave., Waldwick, NJ 07463 | 2008-04-22 |
| 1194364638 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 201 Marin Blvd, Jersey City, NJ 07302-6491 | 2020-01-02 |
| Street Address |
216 OLD TAPPAN ROAD, SUITE 56-58D |
| City | OLD TAPPAN |
| State | NJ |
| Zip Code | 07675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008340 | Twinkle Little Star Pediatric Dentistry, LLC | Dentist | 259 Kinderkamack Road, Westwood, NJ 07675 | 2019-11-27 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1134699200 | Angelly Guzman | Social Worker | 192 3rd Ave., Westwood, NJ 07675 | 2018-11-30 |
| 1871965392 | Jesse Glassman | Psychologist | 354 Old Hook Rd. Suite 203, Westwood, NJ 07675 | 2015-10-23 |
| 1972981249 | Sabrina Tate Hegarty | Physical Therapist | 38 Adams Court, Westwood, NJ 07675 | 2015-05-07 |
| 1205220910 | Annamma Goerge | Nurse Practitioner | 333 Old Hook Road, Suite 103, Endocrinology and Diabetes Associates, LLC, Westwood, NJ 07675 | 2015-03-20 |
| 1871997833 | Tia Davis | Social Worker | 80 Westwood Blvd, Westwood, NJ 07675 | 2014-10-20 |
| 1336564400 | Jessica Digiacomo | Counselor | 192 Third Avenue, Suite 1-b, Westwood, NJ 07675 | 2014-02-26 |
| 1487078507 | Bergen Pediatric Speech Therapy | Speech-Language Pathologist | 354 Old Hook Rd., Ll-1, Westwood, NJ 07675 | 2014-02-10 |
| 1912278615 | Pankaj Kakkar | Psychiatry & Neurology | 260 Old Hook Road, Suite 200, Westwood, NJ 07675 | 2012-01-26 |
| Find all providers in zip 07675 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043678980 | Jenna Stuebe | Physical Therapist | 11 Dorotockeys Ln, Old Tappan, NJ 07675-7344 | 2016-02-07 |
| 1790021830 | Align Natural Physical Therapy LLC | Physical Therapist | 104 Old Tappan Rd, Old Tappan, NJ 07675-7434 | 2012-12-18 |
| 1861577421 | Gregory R. Zaccone | Physical Therapist | 184 Central Ave, 1st Floor, Old Tappan, NJ 07675-7360 | 2006-10-25 |
| 1205462892 | Kevin Leithauser | Physical Therapist | 216 Old Tappan Road, Old Tappan, NJ 07675 | 2020-03-16 |
| 1700318250 | Brian Desmond | Physical Therapist | 216 Old Tappan Rd, Old Tappan, NJ 07675 | 2017-04-03 |
| 1588037139 | Colleen Breslin | Physical Therapist | 184 Central Ave, Old Tappan, NJ 07675-7360 | 2015-11-04 |
| 1053687566 | Madison Physical Therapy Limited Partnership | Physical Therapist | 215 Old Tappan Rd, Old Tappan, NJ 07675-7000 | 2012-03-29 |
| 1235410572 | Steven Capitani | Physical Therapist | 215 Old Tappan Rd, Old Tappan, NJ 07675-7000 | 2011-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174478 | Cheryl Santos | Physical Therapist | 943 Alexander Road, Suite 2, Princeton, NJ 08540-0854 | 2020-11-06 |
| 1568063972 | Pt2u | Physical Therapist | 218 Porter Ave, Bergenfield, NJ 07621-2526 | 2020-11-03 |
| 1144821505 | Peter Marsicano Iv | Physical Therapist | 293 Route 206 Unit 10, Flanders, NJ 07836-9580 | 2020-11-03 |
| 1427659770 | Anjali Gandhi | Physical Therapist | 767 St. Georges Avenue, Woodbridge, NJ 07095 | 2020-11-03 |
| 1922609288 | Kristen Nicole Frank | Physical Therapist | 2290 W County Line Rd Ste 215, Jackson, NJ 08527-2267 | 2020-11-03 |
| 1295336824 | Rebecca G Oliveira | Physical Therapist | 63 Elmora Ave, Elizabeth, NJ 07202-1651 | 2020-11-02 |
| 1144820838 | Jamie Lee Sanfilippo | Physical Therapist | 654 Broadway Ste 2, Bayonne, NJ 07002-6555 | 2020-10-30 |
| 1801496872 | Laura Funk | Physical Therapist | 3562 Route 27, Suite 124, Kendall Park, NJ 08824 | 2020-10-29 |
| 1801496179 | Daniel Deitz | Physical Therapist | 115 Nj-73, #80, West Berlin, NJ 08091 | 2020-10-27 |
| 1619577889 | Ikpt, LLC | Physical Therapist | 8 Lauren Pond Ct, Demarest, NJ 07627-2500 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | OLD TAPPAN |
| Zip Code | 07675 |
Please comment or provide details below to improve the information on SPORTS MEDICINE CENTER OF BERGEN, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.