Individual provider Active NPI

Monique T Rodolphe, PT

  • Physical Therapist
  • Ewing, NJ
National Provider Identifier
1003832759
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01108000 Issued in NJ
Practice address
1881 N Olden Ave
Ewing, NJ 08638-3105
Phone
(609) 530-0011
Fax
(609) 530-0666
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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 40QA01108000 NJ Primary

Addresses

Primary practice location

1881 N Olden Ave
Ewing, NJ 08638-3105

Mailing address

1881 N Olden Ave
Ewing, NJ 08638-3105
Phone (609) 530-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000048 NJ Practitioner - Physical Therapist in Private Practice 4486615895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1140 Route 130
Suite 1
Robbinsville, NJ 08691-1137
Phone (609) 585-2333

1881 N Olden Ae
Ewing, NJ 08638-3105
Phone (609) 530-0011

1900 Arena Dr
Hamilton, NJ 08610-2409

1900 Arena Dr
Hamilton, NJ 08610-2426
Phone (609) 585-2333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01108000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physical Therapy Services Physical Therapist CurrentSince Jan 18, 2013 Accepting new patients
Hamilton Physical Therapy Services Physical Therapist CurrentSince Jan 18, 2013 Accepting new patients

Locations

1881 N Olden Avenue Ext
Ewing, NJ 08638
Phone (609) 530-0011

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1003832759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 N OLDEN AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086383105",
            "telephone_number": "609-530-0011",
            "fax_number": "609-530-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 N OLDEN AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086383105",
            "telephone_number": "609-530-0011",
            "fax_number": "609-530-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODOLPHE",
        "first_name": "MONIQUE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01108000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.