Active NPI
Return2Sport
- Physical Medicine & Rehabilitation Physician
- Manasquan, NJ
National Provider Identifier
1104309988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- RETURN2SPORT
- Practice address
- 2260 Landmark PL
Manasquan, NJ 08736-1025 - Phone
- (732) 800-1078
- NPI assigned
- Sep 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Francis Gerdes, DPT
- Title
- Ceo/Physical Therapist
- Phone
- (732) 979-6965
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
2260 Landmark PL
Manasquan, NJ 08736-1025
Mailing address
2260 Landmark PL
Manasquan, NJ 08736-1025
Phone (732) 800-1078
Other names 1
- Gerdes Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2260 Landmark Pl
Manasquan, NJ 08736
Phone (732) 800-1078
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Manasquan, NJ
- NPI 1861727083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592006400000",
"number": "1104309988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 LANDMARK PL",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087361025",
"telephone_number": "732-800-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 LANDMARK PL",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087361025",
"telephone_number": "732-800-1078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETURN2SPORT",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-08",
"last_updated": "2020-06-13",
"certification_date": "2020-06-13",
"status": "A",
"authorized_official_last_name": "GERDES",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "732-979-6965",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gerdes Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manasquan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.