Individual provider Active NPI

Pamela Jane Bigelow, MSCPT, MTC

  • Specialist
  • Medford Lakes, NJ
National Provider Identifier
1043432255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00310400 Issued in NJ
Practice address
82 Tecumseh TRL
Medford Lakes, NJ 08055-1616
Phone
(609) 226-3600
Fax
(609) 654-7493
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QA00310400 NJ Primary

Addresses

Primary practice location

82 Tecumseh TRL
Medford Lakes, NJ 08055-1616

Mailing address

82 Tecumseh TRL
Medford Lakes, NJ 08055-1616
Phone (609) 226-3600

Other names 1

  • Ms. Pamela Jane Bigelow-O'Neill Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071113000623 NJ Practitioner - Physical Therapist in Private Practice 6204924970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Boro Physical Therapy Associates, PAGroup PAC ID 8527962950, 89 clinicians

Practice addresses (Care Compare)

100 Creek Crossing Blvd
Suite 107
Hainesport, NJ 08036-2765
Phone (609) 265-0708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates PA CurrentSince Dec 5, 2022 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Dec 5, 2022 Accepting new patients

Locations

20 Commerce Dr
Ste 210
Cranford, NJ 07016

100 Creek Crossing Blvd
Ste 107
Hainesport, NJ 08036
Phone (609) 265-0700

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

6981 N Park Dr
Ste 102
Pennsauken, NJ 08109
Phone (856) 777-5003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043432255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TECUMSEH TRL",
            "city": "MEDFORD LAKES",
            "state": "NJ",
            "postal_code": "080551616",
            "telephone_number": "609-226-3600",
            "fax_number": "609-654-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TECUMSEH TRL",
            "city": "MEDFORD LAKES",
            "state": "NJ",
            "postal_code": "080551616",
            "telephone_number": "609-226-3600",
            "fax_number": "609-654-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGELOW",
        "first_name": "PAMELA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MSCPT, MTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00310400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "BIGELOW-O'NEILL",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "MSCPT, MTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.