Active NPI
Sophia McMullan
- Physical Therapist
- Clark, NJ
National Provider Identifier
1043144595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02423800
- Practice address
- 60 Walnut Ave Ste 180
Clark, NJ 07066-1647 - Phone
- (732) 340-1012
- NPI assigned
- Jun 10, 2026
- Last updated
- Jun 10, 2026
- Sex
- Unspecified or another gender identity
- 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 Therapist | 225100000X | 40QA02423800 | NJ | Primary |
Addresses
Primary practice location
60 Walnut Ave Ste 180
Clark, NJ 07066-1647
Mailing address
21 Dunham Ave
Cranford, NJ 07016-1949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Bethany Rd
Hazlet, NJ 07730-1606
4 Walter E Foran Blvd
Suite 203
Flemington, NJ 08822-4666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
60 Walnut Ave
Ste 180
Clark, NJ 07066
Phone (732) 340-1012
Organizations & group practices 1
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": "1781049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1043144595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 DUNHAM AVE",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070161949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WALNUT AVE STE 180",
"city": "CLARK",
"state": "NJ",
"postal_code": "070661647",
"telephone_number": "732-340-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLAN",
"first_name": "SOPHIA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-06-10",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02423800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.