BRETT PLOSHNICK
NPI 1720692387
Physical Therapist in Ridgewood, NJ
About Brett Ploshnick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRETT PLOSHNICK (NPI 1720692387) is an individual physical therapist in Ridgewood, New Jersey, licensed in New Jersey (40QA01929300) and active in the NPI registry since September 2020. He is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
- 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.
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
Brett Ploshnick 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.
Medicare Billing Reassignments
3Medicare enrollment records show Brett Ploshnick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glen Rock, NJ 07452
- Reassigned Medicare billing, New Jersey enrollment
- 224 clinicians in this Medicare group
Nutley, NJ 07110
- Reassigned Medicare billing, New Jersey enrollment
- 49 clinicians in this Medicare group
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 398 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 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07450 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brett Ploshnick's NPI number?
The NPI number for Brett Ploshnick is 1720692387. It was assigned to this individual provider in the NPPES registry on September 1, 2020.
Where is Brett Ploshnick located?
Brett Ploshnick practices at 85 S Maple Ave, Ridgewood, NJ 07450. The listed phone number is (201) 857-5396.
What is Brett Ploshnick's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Brett Ploshnick enrolled in Medicare?
Yes. Brett Ploshnick 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 Brett Ploshnick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brett Ploshnick reassigns Medicare benefits to 3 organizations: Sportsmed Pt LLC (Glen Rock, NJ), Pro Staff Physical Therapy PC (Nutley, NJ) and Rothman Orthopaedics Of New Jersey, LLC (Marlton, 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 Brett Ploshnick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brett Ploshnick accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Brett Ploshnick 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 Brett Ploshnick was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.