Individual provider Active NPI

Maureen Nelson, PT, DPT

  • Physical Therapist
  • Little Silver, NJ
National Provider Identifier
1043094253
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
401QA02193700 Issued in NJ
Practice address
116 Oceanport Ave BLDG 2
Little Silver, NJ 07739-1211
Phone
(732) 233-2046
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 401QA02193700 NJ Primary

Addresses

Primary practice location

116 Oceanport Ave BLDG 2
Little Silver, NJ 07739-1211

Mailing address

778 Tall Oaks Dr
Brick, NJ 08724-5114
Phone (732) 228-2492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020002071 NJ Practitioner - Physical Therapist in Private Practice 5991151300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipta Clinical, LLCGroup PAC ID 0749456119, 126 clinicians

Practice addresses (Care Compare)

10 Kettle Creek Rd
Suite C
Toms River, NJ 08753-1700
Phone (732) 255-7404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
401QA02193700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ipta Clinical, LLC Physical Therapist CurrentSince Oct 6, 2023 Accepting new patients
Sports Care and Physical Rehabilitation Inc. Physical Therapist CurrentSince Dec 24, 2023 Accepting new patients
3 Dimensional Physical Therapy - Pelvic Health LLC Physical Therapist PastSince Feb 23, 2025 Accepting new patients

Locations

116 Oceanport Ave
Ste 2
Little Silver, NJ 07739
Phone (732) 233-2046

116 Oceanport Ave
Little Silver, NJ 07739
Phone (732) 219-0979

175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750

10 Kettle Creek Rd
Ste C
Toms River, NJ 08753
Phone (732) 244-5533

Organizations & group practices 3

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1043094253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 TALL OAKS DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087245114",
            "telephone_number": "732-228-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 OCEANPORT AVE BLDG 2",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391211",
            "telephone_number": "732-233-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MAUREEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "401QA02193700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.