Active NPI
Matthew John Triboletti, DPT
- Physical Therapist
- Hammonton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01486300
- Practice address
- 777 S White Horse Pike Ste D3
Hammonton, NJ 08037-2029 - Phone
- (609) 204-4621
- NPI assigned
- Feb 24, 2014
- Last updated
- Jan 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 40QA01486300 | NJ | Primary |
Addresses
Primary practice location
777 S White Horse Pike Ste D3
Hammonton, NJ 08037-2029
Mailing address
777 S White Horse Pike Ste D3
Hammonton, NJ 08037-2029
Phone (609) 204-4621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
777 S White Horse Pike
Suite D3
Hammonton, NJ 08037-2029
Phone (609) 481-2760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01486300 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Chiropractic Associates PA | Current | Accepting new patients | |
| Beyond Balance & Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
Locations
429 White Horse Pike
Atco, NJ 08004
Phone (856) 753-1111
777 S White Horse Pike
Ste D3
Hammonton, NJ 08037
Phone (609) 204-4621
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.
-
- Physical Therapy Clinic/Center
- Hammonton, NJ
- NPI 1780207100
Physical Therapist
-
- Chiropractor
- Atco, NJ
- NPI 1578615357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1043635386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 S WHITE HORSE PIKE STE D3",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080372029",
"telephone_number": "609-204-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 S WHITE HORSE PIKE STE D3",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080372029",
"telephone_number": "609-204-4621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIBOLETTI",
"first_name": "MATTHEW",
"middle_name": "JOHN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-24",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01486300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.