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Active NPI 1073947321 Individual Practitioner Male Practitioner

Ajay S Mampilly

Physical Therapy Assistant • Emerson, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ajay Mampilly is a certified Physical Therapy Assistant practicing in Emerson, NJ. With approximately 8 years of clinical experience since completing medical education in 2018, Ajay Mampilly delivers high-quality medical care to the local community at 100 KINDERKAMACK RD.

Ajay Mampilly is affiliated with Jag-One Physical Therapy Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using functional activities, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Kinderkamack Rd

Emerson, NJ 076301828

Telephone 8884936415
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Emerson, NJ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs Matches City Avg
City Avg: 8.0 Yrs
State Avg: 6.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Emerson, NJ (1031 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mampilly (8 Years) 8 Yrs
Emerson Specialty Average (8.0 Years) 8.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
414 49 $137.08 $24.21
97530 Therapy procedure using functional activities
288 48 $96.42 $38.66
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
242 37 $126.47 $29.36
97140 Therapy procedure using manual technique, each 15 minutes
229 45 $93.12 $22.56
97161 Evaluation of physical therapy, typically 20 minutes
21 21 $257.62 $111.18

Medical Specialties & State Licenses

Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License NJ 40QB00300600

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Hospital & Practice Group Affiliations

Jag-One Physical Therapy Llc

622 Eagle Rock Ave, West Orange, NJ 070522994

Phone: 9736690078

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Henri Douvry , L, PTA

Physical Therapy Assistant

NPI 1255785127

L, Physical Therapist Assistant

Phyllis Flancbaum , PT, LNHA

Physical Therapist - Geriatrics

NPI 1295047041

Physical Therapist, LNHA

Janet Kilkenny , COTA

Occupational Therapy Assistant

NPI 1609174226

Certified Occupational Therapy Assistant

Ashley Caprio , OTR, L

Occupational Therapist

NPI 1861734113

Occupational Therapist Registered, L

Phyllis Simon , OTR

Occupational Therapist

NPI 1912296930

Occupational Therapist Registered

Anita Joy

Occupational Therapist

NPI 1912298852

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2013

Registered at 100 KINDERKAMACK RD, EMERSON, NJ 076301828 (Tel: 8884936415)

📍
Updated Business Mailing Address August 22, 2013

Registered at 67 ROLLINSON ST, WEST ORANGE, NJ 070524625 (Tel: 9735172094)

👤
Provider Name / Credentials Updated August 22, 2013

Recorded as AJAY MAMPILLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2013

Physical Therapy Assistant (License #40QB00300600 in NJ)

🟢
Initial NPI Registration & Enumeration August 22, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073947321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2013
Last Update: August 22, 2013
Sole Proprietor: No

Mailing Address

67 Rollinson St

West Orange, NJ 070524625

Phone: 9735172094

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.