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

Paaneri Atul Jethwa

Individual provider Physical Therapist · NPI 1174013478

Paaneri Atul Jethwa is a Physical Therapist in Private Practice in Jersey City, New Jersey. Qualified in 2018, 8 years ago. Practices with Origin Physical Therapy Fl PLLC, a 78-clinician group. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2018
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Practice location Address checks out

129 Newark Ave
Jersey City, NJ 07302-2811
Phone: (212) 227-3233
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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 40QA01786500 (NJ)

Record details

NPI number1174013478
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2018
Last updated in NPPESMay 14, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Origin Physical Therapy Fl Pllc — 78 clinicians
Accepts Medicare assignment Not indicated

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