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

Dr. Emerson Medrano Mateo, DR, PHYSICALTHERAPY

Individual provider Geriatric Physical Therapist · NPI 1992755607

Dr. Emerson Medrano Mateo, DR, PHYSICALTHERAPY is a Physical Therapist in Private Practice in Teaneck, New Jersey. Qualified in 2019, 7 years ago. Practices with Therapy Wellness LLC, a 4-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
7
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2

Practice location Address checks out

453 Glenwood Ave
Teaneck, NJ 07666-6405
Phone: (212) 365-4505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 40QA01048000 (NJ)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 024900 (NY)

Record details

NPI number1992755607
Entity typeIndividual (Type 1)
GenderMale
Credentials DR , PHYSICALTHERAPY
Sole proprietorYes
NPI enumeratedMay 11, 2006
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021
Mailing address453 Glenwood Ave, Teaneck, NJ 07666-6405

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Therapy Wellness Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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