Individual provider Active NPI

Jessica Anne Gutt, PT

  • Physical Therapist
  • Cedar Knolls, NJ
National Provider Identifier
1023785169
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA020223200 Issued in NJ
Practice address
197 Ridgedale Ave Ste 155
Cedar Knolls, NJ 07927-2198
Phone
(973) 605-5115
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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 40QA020223200 NJ Primary

Addresses

Primary practice location

197 Ridgedale Ave Ste 155
Cedar Knolls, NJ 07927-2198

Mailing address

7 Laurel Dr
Long Valley, NJ 07853-3516
Phone (908) 328-4713

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

State licenses

LicenseStateTypeSpecialty
40QA020223200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare of America, PC Physical Therapist CurrentSince Sep 2, 2021 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Sep 2, 2021 Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

197 Ridgedale Ave
Ste 155
Cedar Knolls, NJ 07927
Phone (973) 605-5115

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

530 Lakehurst Rd
Ste 202204
Toms River, NJ 08755
Phone (732) 349-1201

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, 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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1023785169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LAUREL DR",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078533516",
            "telephone_number": "908-328-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE STE 155",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272198",
            "telephone_number": "973-605-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTT",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA020223200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.