CLAIRE MARIE PERFETTI DPT NPI 1275004095

Physical Therapist in Westfield, NJ

Individual Female Years of Experience 5 Physical Therapist Accepts Medicare Approved Payment

About CLAIRE MARIE PERFETTI DPT

Claire Perfetti is a provider established in Westfield, New Jersey and her medical specialization is Physical Therapist with more than 5 years of experience. The NPI number of Claire Perfetti is 1275004095 and was assigned on December 2018. The practitioner's primary taxonomy code is 225100000X with license number 40QA01945700 (NJ). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI

1275004095

Provider Name CLAIRE MARIE PERFETTI DPT
Provider Location Address1124 SOUTH AVE W WESTFIELD, NJ 07090
Provider Mailing AddressPO BOX 1014 CLARK, NJ 07066
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2018
Is Sole Proprietor?Yes
Enumeration Date12-06-2018
Last Update Date08-20-2020

Claire Perfetti is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $37.64 for a new patient copayment and $20.64 for an established patient copayment.



Primary Taxonomy

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.40QA01945700
License StateNJ
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

CLAIRE MARIE PERFETTI DPT
1124 SOUTH AVE W
WESTFIELD, NJ
ZIP 07090
Phone: (908) 233-1222
Fax: (732) 855-9755

Get Directions


Mailing Address

CLAIRE MARIE PERFETTI DPT
PO BOX 1014
CLARK, NJ
ZIP 07066
Phone: (732) 855-9751
Fax: (732) 855-9755


Secondary Locations

232 E Main St
Huntington, NY 11743
(516) 532-4348

PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID6800214750
PECOS Enrollment IDI20200910000009
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 07090 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$66.45 $198.48 $150.56
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.61 $49.62 $37.64
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.27 $162.58 $82.58
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.31 $40.64 $20.64

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist043904NYNo

Taxonomy Description: physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275004095
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145008018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 0 + 0 + 8 + 0 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1275004095 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194820191 MICHAEL B BAUMER PT
Individual
Physical Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1124326087 STEPHANIE M RINALDI OT, MS
Individual
Occupational Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1225538432TWIN BORO PHYSICAL THERAPY ASSOCIATES PA
Organization
Occupational Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1497770846 HEIDI ACKERMAN PT
Individual
Physical Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1417236753 JESSICA GARRY KLASKIN PT, DPT
Individual
Physical Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1801396627 THOMAS V. NAPATANO PT, DPT
Individual
Physical Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1487679379 NANCY A. PIDANE PT
Individual
Physical Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1033625942 JESSICA RAMIREZ OTR
Individual
Occupational Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1003011156 MAHALIA ELAINE S ONG OTR/L, CHT, CLT
Individual
Occupational Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1154091221 OLIVIA GRACE WILKERSON DPT
Individual
Physical Therapist1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222
1649926924DR. RYAN ROBERT VRINDTEN PT, DPT
Individual
Physical Therapist (Orthopedic)1124 SOUTH AVE W
WESTFIELD, NJ 07090
(908) 233-1222

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Claire Marie Perfetti Dpt is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.