Advantage Physical Therapy, PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00661600 Issued in NJ

Legal business name

ADVANTAGE PHYSICAL THERAPY, PA

Practice address

990 Cedarbridge Ave
Towne Hall Shoppes
Brick, NJ 08723-4159

Phone

(732) 262-0111

Fax

(732) 262-0332

NPI assigned

May 31, 2006

Last updated

Feb 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Joseph Dolan, P.T. / A.T.C.NPI 1396804803

Title

Vice President. /Physical Therapist

Phone

(732) 262-0111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard L Dawkins Jr, PT

  • Physical Therapist
  • Brick, NJ
  • NPI 1700945219
  Medicare reassignment
• Stephen Dolan, PT

  • Physical Therapist
  • Brick, NJ
  • NPI 1396804803
  Authorized official Same address or phone

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1033156013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 CEDARBRIDGE AVE",
            "address_2": "TOWNE HALL SHOPPES",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234159",
            "telephone_number": "732-262-0111",
            "fax_number": "732-262-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 CEDARBRIDGE AVE",
            "address_2": "TOWNE HALL SHOPPES",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234159",
            "telephone_number": "732-262-0111",
            "fax_number": "732-262-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PHYSICAL THERAPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT. /PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-262-0111",
        "authorized_official_credential": "P.T. / A.T.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00661600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Medical Weight Loss and Esthetics
• Advanced Physical Medicine & Rehabilation Center LLC
• Advanced Pro Home Care, Inc
• Advanced Pro Home Care, Inc.
• Advanced Urology Associates Enterprises (Coastal Urology Associates)
• Advocare , LLC (Advocare Ocean County Pediatrics)
• Affinity Care of NJ LLC
• Swara Afiniwala, M.D
• Adil Ahmed, DO
• Omar Zikri Ahmed, M.D.

• Physical Therapist in Brick, NJ
• Providers in Brick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.