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

Individual provider Physical Therapist · NPI 1093944126

Edilene F Panlilio, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Bergenfield, New Jersey. Qualified in 1998, 28 years ago. Practices with Sportsmed PT LLC, a 214-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
28
Licensed in
NJ
In the registry since
2009
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Practice location Address checks out

190 S Vivyen St
Bergenfield, NJ 07621-2633
Phone: (646) 240-0130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01201100 (NJ)

Record details

NPI number1093944126
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedJuly 10, 2009
Last updated in NPPESMarch 17, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Sportsmed Pt Llc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bergenfield