JACQUELYN D'AMICO DPT
NPI 1407689227
Physical Therapist in Edison, NJ

Active since August 26, 2024
28 CAMPUS DR, EDISON, NJ 08837(732) 662-4400 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacquelyn D'amico Dpt NPPES

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

JACQUELYN D'AMICO DPT (NPI 1407689227) is an individual physical therapist in Edison, New Jersey, licensed in New Jersey (40QA02280000) and active in the NPI registry since August 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1407689227
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJACQUELYN D'AMICOCredential: DPT
Location Address28 CAMPUS DREdison, NJ 08837-3911
Mailing Address28 Campus DrEdison, NJ 08837-3911 · (732) 662-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1407689227 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
Licenses✔ Licensed in NJ · 40QA02280000✔ Licensed in NY · 053039-01
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.
28 CAMPUS DR, Edison, NJ 08837

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn D'amico Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709306285
PECOS Enrollment IDI20250227001796

Medicare Billing Reassignments

2

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

Physical Therapist
407 W 13TH ST, SUITE 3B
New York, NY 10014
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Fusion Physical Therapy And Sports Wellness PC
  • 6 clinicians in this Medicare group
Physical Therapist
315 MADISON AVE STE 2100
New York, NY 10017
  • Reassigned Medicare billing, New York enrollment
  • 11 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
28 CAMPUS DR
EDISON, NJ 08837
Physical Therapist
28 CAMPUS DR
EDISON, NJ 08837
Physical Therapist
28 CAMPUS DR
EDISON, NJ 08837
Acupuncturist
28 CAMPUS DR
EDISON, NJ 08837
Specialist/Technologist (Athletic Trainer)
28 CAMPUS DR
EDISON, NJ 08837
Physical Therapist
28 CAMPUS DR
EDISON, NJ 08837

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 Jacquelyn D'amico's NPI number?

The NPI number for Jacquelyn D'amico is 1407689227. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Jacquelyn D'amico located?

Jacquelyn D'amico practices at 28 Campus Dr, Edison, NJ 08837. The listed phone number is (732) 662-4400.

What is Jacquelyn D'amico's specialty?

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

Is Jacquelyn D'amico enrolled in Medicare?

Yes. Jacquelyn D'amico is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacquelyn D'amico's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn D'amico reassigns Medicare benefits to 2 organizations: Fusion Physical Therapy And Sports Wellness P.C. (New York, NY) and Pelvic Group Pt PLLC (New York, NY). 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 Jacquelyn D'amico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacquelyn D'amico was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.