Individual provider Active NPI

Bernadette A. Dunphy, DPT

  • Physical Therapist
  • Red Bank, NJ
National Provider Identifier
1073737086
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00366000 Issued in NJ
Practice address
300 Broad St
Red Bank, NJ 07701-2119
Phone
(732) 275-3200
Fax
(732) 275-3210
NPI assigned
Apr 12, 2007
Last updated
Jan 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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 40QA00366000 NJ Primary

Addresses

Primary practice location

300 Broad St
Red Bank, NJ 07701-2119

Mailing address

1 Corbett Way
Eatontown, NJ 07724-2264
Phone (732) 542-8818

Other identifiers 1

IdentifierTypeStateIssuer
4243993OtherNJAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000539 NJ Practitioner - Physical Therapist in Private Practice 6103926472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers New Jersey Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Broad St
Red Bank, NJ 07701-2119
Phone (732) 383-7034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00366000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dunphy's Physical Therapy, P.C. Physical Therapist CurrentSince Jun 1, 2007 Accepting new patients
Dunphy Physical Therapy, Inc. Physical Therapist PastSince Jan 25, 2008 Accepting new patients

Locations

300 Broad St
Red Bank, NJ 07701
Phone (732) 275-3200

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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1073737086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORBETT WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242264",
            "telephone_number": "732-542-8818",
            "fax_number": "732-389-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012119",
            "telephone_number": "732-275-3200",
            "fax_number": "732-275-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNPHY",
        "first_name": "BERNADETTE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00366000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4243993",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.