Individual provider Active NPI

Jamie Douglass, DPT

  • Physical Therapist
  • Howell, NJ
National Provider Identifier
1013263243
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01450200 Issued in NJ
Practice address
4772 US Highway 9
Howell, NJ 07731-3354
Phone
(732) 364-1172
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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 40QA01450200 NJ Primary

Addresses

Primary practice location

4772 US Highway 9
Howell, NJ 07731-3354

Mailing address

10 Redwood Dr
Toms River, NJ 08753-3624
Phone (908) 839-8572

Other names 1

  • Jamie White Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Therapy Services, LLC Physical Therapist CurrentSince May 8, 2022 Accepting new patients
All-Care Physical Therapy Center Physical Therapist PastSince Nov 15, 2007 Accepting new patients
All-Care Physical Therapy Center Physical Therapist Past Accepting new patients
Ivyrehab Network Inc. Physical Therapist Past Accepting new patients

Locations

4772 US Highway 9
Howell, NJ 07731
Phone (732) 224-9355

Organizations & group practices 4

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1013263243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 REDWOOD DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533624",
            "telephone_number": "908-839-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 US HIGHWAY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313354",
            "telephone_number": "732-364-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "JAMIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01450200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "WHITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.