BRETT PLOSHNICK
NPI 1720692387
Physical Therapist in Ridgewood, NJ

Active since September 01, 2020Accepts Medicare Assignment
85 S MAPLE AVE, RIDGEWOOD, NJ 07450(201) 857-5396 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1720692387
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBRETT PLOSHNICK
Location Address85 S MAPLE AVERidgewood, NJ 07450-4561
Mailing Address10 Colonial CtWoodcliff Lake, NJ 07677-8213
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1720692387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NJ · 40QA01929300
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.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 40QA01929300 (NJ)
85 S MAPLE AVE, Ridgewood, NJ 07450

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.

PECOS PAC ID7911326046
PECOS Enrollment IDI20200923001323

Medicare Billing Reassignments

3

Medicare 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.

Physical Therapist
266 HARRISTOWN RD STE 200
Glen Rock, NJ 07452
  • Reassigned Medicare billing, New Jersey enrollment
  • 224 clinicians in this Medicare group
Physical Therapy
265 FRANKLIN AVE
Nutley, NJ 07110
  • Reassigned Medicare billing, New Jersey enrollment
  • 49 clinicians in this Medicare group
Orthopaedic Surgery
999 ROUTE 73 N FL 34
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.

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.
2,554 services118 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.
1,372 services86 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.
1,225 services99 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.
485 services45 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.
358 services35 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
63 services49 patients

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.

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.

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.

Physical Therapist
85 S MAPLE AVE
RIDGEWOOD, NJ 07450
Physical Therapist
85 S MAPLE AVE
RIDGEWOOD, NJ 07450
Physician Assistant
85 S MAPLE AVE
RIDGEWOOD, NJ 07450
Physician Assistant
85 S MAPLE AVE
RIDGEWOOD, NJ 07450
Physician Assistant (Surgical)
85 S MAPLE AVE
RIDGEWOOD, NJ 07450
Physical Medicine & Rehabilitation
85 S MAPLE AVE
RIDGEWOOD, NJ 07450
Physical Therapist (Orthopedic)
85 S MAPLE AVE
RIDGEWOOD, NJ 07450
Physical Therapist
85 S MAPLE AVE
RIDGEWOOD, NJ 07450

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.