JESSICA LYNN ANGOWSKI (PT, DPT) – Physical Therapist, NPI 1225878788

JESSICA LYNN ANGOWSKI (PT, DPT) is a healthcare provider. based in Montvale, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 40QA02253100 (NJ). The NPI Number for JESSICA LYNN ANGOWSKI (PT, DPT) is 1225878788

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LYNN ANGOWSKI (PT, DPT)
NPI
1225878788
Phone
(201) 305-0130
Address
160 Summit Ave Ste 204
Enumeration Date
30 May 2024
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9073739462
Graduation Year
2024 (2 years ago)
PAC ID
6507301181
Group Practice PAC ID
8224537535
Professional Enrollment ID
I20260225003500
Address ID
AK996540000WA3765XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:2State licenses:2Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for JESSICA LYNN ANGOWSKI (PT, DPT)

  • 160 Summit Ave Ste 204

    Montvale, NJ 076451763

    Phone: (201) 305-0130

    Type: Location

  • 3765 E BLUE LUPINE DR STE E

    WASILLA, AK 996548417

    Phone: (907) 373-9462

    Fax: (907) 373-9464

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240709000826IPhysical Therapist In Private PracticeNJTBD
I20260225003500IPhysical Therapist In Private PracticeAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07645)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224537535View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeAK

Reviews

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Frequently asked questions

Can I cross-check JESSICA LYNN ANGOWSKI (PT, DPT) using NPI 1225878788?
NPI 1225878788 belongs to JESSICA LYNN ANGOWSKI (PT, DPT); compare other details if you need extra assurance.
Is there an active status for JESSICA LYNN ANGOWSKI (PT, DPT)?
For scheduling context, JESSICA LYNN ANGOWSKI (PT, DPT) is shown as active in the registry.
What area of care is associated with JESSICA LYNN ANGOWSKI (PT, DPT)?
JESSICA LYNN ANGOWSKI (PT, DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in New Jersey is JESSICA LYNN ANGOWSKI (PT, DPT) registered?
Use Montvale, New Jersey as the headline location for JESSICA LYNN ANGOWSKI (PT, DPT) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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