BERGEN PHYSICAL THERAPY, LLC
NPI 1013446954
Chiropractor in Fort Lee, NJ
About Bergen Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERGEN PHYSICAL THERAPY, LLC (NPI 1013446954) is a healthcare organization registered as a chiropractor in Fort Lee, New Jersey and active in the NPI registry since June 2017. The organization lists Mario Glavicic, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bergen Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bergen Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bergen Physical Therapy, LLC's NPI number?
The NPI number for Bergen Physical Therapy, LLC is 1013446954. It was assigned to this organization in the NPPES registry on June 5, 2017.
Where is Bergen Physical Therapy, LLC located?
Bergen Physical Therapy, LLC is located at 520 Main St, Fort Lee, NJ 07024. The listed phone number is (201) 947-7805.
What is Bergen Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Bergen Physical Therapy, LLC enrolled in Medicare?
Yes. Bergen Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bergen Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bergen Physical Therapy, LLC, in Chiropractic and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bergen Physical Therapy, LLC was last updated on June 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bergen Physical Therapy, Llc · NPI 1013446954
Chiropractor organization in Fort Lee, New Jersey. Organization record, active in the CMS NPPES registry since June 5, 2017.
## Identity
- **NPI:** 1013446954 (Entity type: Organization)
- **Enumerated:** June 5, 2017
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Mario Glavicic, OWNER
## Practice location
- **Address:** 520 MAIN ST, Fort Lee, NJ 07024-4501
- **Phone:** (201) 947-7805 · **Fax:** (201) 947-7806
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (1), Physical Therapist in Private Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1013446954) · Data from the CMS NPPES public registry.