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JAMES R NEISWINTER DPT
NPI 1679874812
Physical Therapist - Orthopedic in Scotch Plains, NJ

Active since November 04, 2010Accepts Medicare Assignment
81.03/100
CMS Quality Rating
170 HARDING RD, SCOTCH PLAINS, NJ 07076(516) 322-5468 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2021, Sep 14, 2018 (2 updates tracked since 2018).

About James R Neiswinter Dpt NPPES

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

JAMES R NEISWINTER DPT (NPI 1679874812) is an individual orthopedic provider in Scotch Plains, New Jersey, licensed in New Jersey (40QA01464100) and active in the NPI registry since November 2010. He maintains a secondary practice location in Madison and is a graduate of Other (2010).

NPPES Registry Identity

NPI1679874812
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJAMES R NEISWINTERCredential: DPT
Location Address170 HARDING RDScotch Plains, NJ 07076-1441
Mailing Address644 Valley RdGillette, NJ 07933-2012 · (516) 322-5468
Phone(516) 322-5468
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 4, 2010
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1679874812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in NJ · 40QA01464100
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical TherapistTaxonomy 225100000X · License 008910 (CT)
170 HARDING RD, Scotch Plains, NJ 07076
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Secondary Practice Location 1

Location 1221 Main StMadison, NJ 07940-2287 · Phone (516) 322-5468

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

James R Neiswinter Dpt 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 ID5092994269
PECOS Enrollment IDI20130222000239

Medicare Billing Reassignment

Medicare enrollment records show James Neiswinter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Individual Physical Therapy And Wellness LLC
3.9 mi
Physical Therapy
644 VALLEY ROAD
Gillette, NJ 07933
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
NPI 1639654478 (516) 322-5468

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 4

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 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.
363 services23 patients
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.
226 services16 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.
171 services15 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
15 services15 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.07
Improvement Activities40

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 James Neiswinter's NPI number?

The NPI number for James Neiswinter is 1679874812. It was assigned to this individual provider in the NPPES registry on November 4, 2010.

Where is James Neiswinter located?

James Neiswinter practices at 170 Harding Rd, Scotch Plains, NJ 07076. The listed phone number is (516) 322-5468.

What is James Neiswinter's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is James Neiswinter enrolled in Medicare?

Yes. James Neiswinter 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 organization bills Medicare for James Neiswinter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Neiswinter reassigns Medicare benefits to Individual Physical Therapy And Wellness LLC (Gillette, NJ). The 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 James Neiswinter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Neiswinter accept?

Health plans from Oscar Health list James Neiswinter 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 James Neiswinter was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.