DORIA CENTINEO (PT) – Physical Therapist, NPI 1467286328

DORIA CENTINEO (PT) is a healthcare provider. based in Boonton, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. The NPI Number for DORIA CENTINEO (PT) is 1467286328

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DORIA CENTINEO (PT)
NPI
1467286328
Phone
(973) 794-6040
Address
315 WOOTTON STREET
Enumeration Date
31 August 2024
Last Update Date
31 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9737946040
Graduation Year
2024 (2 years ago)
PAC ID
7911447172
Group Practice PAC ID
3779831714
Professional Enrollment ID
I20240913003270
Address ID
NJ070051939BO315XXSTXX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for DORIA CENTINEO (PT)

  • 315 WOOTTON STREET

    UNITS I AND J

    BOONTON, NJ 07005

    Phone: (973) 794-6040

    Mailing address matches the actual address.

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: 2024-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240913003270IPhysical Therapist In Private PracticeNJTBD

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 07005)

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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: 3779831714View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

Can I verify DORIA CENTINEO (PT) with an NPI only?
You can start verification with NPI 1467286328 for DORIA CENTINEO (PT), then check state licensing separately.
Does the file indicate DORIA CENTINEO (PT) is practicing under active NPI?
Directory data currently reports DORIA CENTINEO (PT) as active.
What is DORIA CENTINEO (PT)'s primary classification?
Physical Therapist is the headline specialty for DORIA CENTINEO (PT) here. Clinical services aligned with this taxonomy classification.
Does DORIA CENTINEO (PT) list a practice location?
Patients near Boonton, New Jersey may find DORIA CENTINEO (PT) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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