POOJA GHELANI
NPI 1376916353
Physical Therapist in Piscataway, NJ

Active since November 12, 2015Accepts Medicare Assignment
15 CORPORATE PL S STE 343, PISCATAWAY, NJ 08854(646) 650-2292 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pooja Ghelani NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POOJA GHELANI (NPI 1376916353) is an individual physical therapist in Piscataway, New Jersey, licensed in New York (039383) and active in the NPI registry since November 2015. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1376916353
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NamePOOJA GHELANI
Location Address15 CORPORATE PL S STE 343Piscataway, NJ 08854-6107
Mailing Address2824 Morris Ave Apt 5fBronx, NY 10468-2848 · (562) 234-3581
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 12, 2015
✔ NPI 1376916353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 039383
Definition
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.
15 CORPORATE PL S STE 343, Piscataway, NJ 08854

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pooja Ghelani is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698004406
PECOS Enrollment IDI20231103002346

Medicare Billing Reassignments

2

Medicare enrollment records show Pooja Ghelani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
1844 2ND AVE
New York, NY 10128
  • Reassigned Medicare billing, New York enrollment
  • 564 clinicians in this Medicare group
Physical Therapist
266 HARRISTOWN RD STE 200
Glen Rock, NJ 07452
  • Reassigned Medicare billing, New Jersey enrollment
  • 224 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,185 services38 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
413 services26 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
294 services16 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
292 services22 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
269 services23 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
124 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Pooja Ghelani's NPI number?

The NPI number for Pooja Ghelani is 1376916353. It was assigned to this individual provider in the NPPES registry on November 12, 2015.

Where is Pooja Ghelani located?

Pooja Ghelani practices at 15 Corporate Pl S Ste 343, Piscataway, NJ 08854. The listed phone number is (646) 650-2292.

What is Pooja Ghelani's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Pooja Ghelani enrolled in Medicare?

Yes. Pooja Ghelani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Pooja Ghelani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Ghelani reassigns Medicare benefits to 2 organizations: Fox Rehabilitation Physical Therapy Services LLC (New York, NY) and Sportsmed Pt LLC (Glen Rock, NJ). Each 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 Pooja Ghelani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Ghelani accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Pooja Ghelani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pooja Ghelani was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.