Active NPI
Mindy Sears, PTA
- Physical Therapy Assistant
- Monroe TWP, NJ
National Provider Identifier
1013032044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00206300
- Practice address
- 292 Applegarth Rd
Monroe TWP, NJ 08831-3754 - Phone
- (609) 860-8122
- Fax
- (609) 655-4596
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00206300 | NJ | Primary |
Addresses
Primary practice location
292 Applegarth Rd
Monroe TWP, NJ 08831-3754
Mailing address
302 Evanston Dr
East Windsor, NJ 08520-5362
Phone (609) 860-8122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QB00206300 | Other | NJ | PTA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QB00206300 | NJ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013032044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 EVANSTON DR",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085205362",
"telephone_number": "609-860-8122",
"fax_number": "609-655-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 APPLEGARTH RD",
"city": "MONROE TWP",
"state": "NJ",
"postal_code": "088313754",
"telephone_number": "609-860-8122",
"fax_number": "609-655-4596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS",
"first_name": "MINDY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00206300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA",
"identifier": "40QB00206300",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe TWP, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.