Individual provider Active NPI

Jacob R Schuck, PT

  • Physical Therapist
  • Bloomfield, NJ
National Provider Identifier
1003114026
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01371700 Issued in NJ
Practice address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone
(732) 719-7168
NPI assigned
Mar 1, 2011
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01371700 NJ Primary

Addresses

Primary practice location

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066

Mailing address

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000487 NJ Practitioner - Physical Therapist in Private Practice 6002076320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Be Healthy LLCGroup PAC ID 1951796622, 94 clinicians

Practice addresses (Care Compare)

1455 Broad St
Bloomfield, NJ 07003-3047
Phone (732) 784-3578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01371700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Wellness Rehabilitation Center LLC Physical Therapist CurrentSince Jun 1, 2016 Accepting new patients
Menon Regenerative Institute LLC PastSince Apr 17, 2022 Accepting new patients

Locations

1868 Hooper Ave
Toms River, NJ 08753
Phone (732) 255-2373

1868 Hooper Ave
Ste 3
Toms River, NJ 08753
Phone (732) 255-3877

1868 Hooper Ave
Ste C
Toms River, NJ 08753
Phone (732) 818-1999

89 Riverwood Dr
Toms River, NJ 08755
Phone (732) 818-1999

89 Riverwood Dr
Ste 1
Toms River, NJ 08755

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1003114026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "732-719-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCK",
        "first_name": "JACOB",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01371700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.