Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Doria Centineo, PT

Individual provider Physical Therapist · NPI 1467286328

Doria Centineo, PT is a Physical Therapist in Private Practice in Boonton, New Jersey. Qualified in 2024, 2 years ago. Practices with Four 3 Performance Laboratory Corp, an 11-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

315 Wootton Street Units I And J
Boonton, NJ 07005
Phone: (973) 794-6040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1467286328
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 31, 2024
Last updated in NPPESAugust 31, 2024
Certification dateAugust 31, 2024
Mailing address315 Wootton Street, Units I And J, Boonton, NJ 07005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Four 3 Performance Laboratory Corp — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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