Sportsmed PT LLC
NPI 1841787645 · Physical Therapist · Glen Rock, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1841787645
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Carol Azar, Billing Director(201) 857-0527
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Acupuncturist171100000X
Other Service Providers
- Chiropractor111N00000X
Chiropractic Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (6)
- 1233 Main AveClifton, NJ 07011-2241Phone: (973) 928-1144
- 102 Engle StEnglewood, NJ 07631-2938Phone: (201) 561-8398
- 14-25 Plaza RdFair Lawn, NJ 07410-3546Phone: (201) 797-7373
- 784 Franklin AveFranklin Lakes, NJ 07417-1306Phone: (201) 857-0527
- 197 E Franklin TpkeHo Ho Kus, NJ 07423-1553Phone: (201) 447-0346
- 21 S Spring Valley RdParamus, NJ 07652-2624Phone: (201) 857-0527
Registry dates
- Enumerated
- 2018-04-17
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.