Active NPI
Michael Sheehan, PT
- Physical Therapist
- West Deptford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02309100
- Practice address
- 711B Mantua Pike
West Deptford, NJ 08096-3349 - Phone
- (856) 579-7201
- Fax
- (856) 579-7734
- NPI assigned
- Dec 9, 2024
- Sex
- Male
- 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 | 40QA02309100 | NJ | Primary |
Addresses
Primary practice location
711B Mantua Pike
West Deptford, NJ 08096-3349
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, WA, CO
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1423 E Main
Puyallup, WA 98372-3138
Phone (253) 697-2340
711 B Mantua Pike
West Deptford, NJ 08096-3349
Phone (856) 579-7201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strive Physical Therapy Specialists LLC | Current | Accepting new patients | |
| Strive Physical Therapy Specialists LLC | Physical Therapist | Current | Accepting new patients |
| Strive Physical Therapy Specialists LLC | Physical Therapist | Past | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
1 Rossmoor Dr
Ste 101
Monroe Twp, NJ 08831
Phone (609) 860-9913
740 Marne Hwy
Ste 203
Moorestown, NJ 08057
Phone (856) 914-1400
253 Hurffville Crosskeys Rd
Ste 3B
Sewell, NJ 08080
Phone (856) 265-0500
711 Mantua Pike
#B
West Deptford, NJ 08096
Phone (856) 579-7201
711 Mantua Pike
West Deptford, NJ 08096
Phone (856) 579-7201
Organizations & group practices 4
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.
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- NPI 1023609955
Physical Therapist
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-
- Durable Medical Equipment & Medical Supplies
- Moorestown, NJ
- NPI 1417745563
-
- Physical Therapy Clinic/Center
- Philadelphia, PA
- NPI 1659962587
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1093521650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711B MANTUA PIKE",
"city": "WEST DEPTFORD",
"state": "NJ",
"postal_code": "080963349",
"telephone_number": "856-579-7201",
"fax_number": "856-579-7734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02309100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Deptford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.