Organization Active NPI

Return2Sport

  • Physical Medicine & Rehabilitation Physician
  • Manasquan, NJ
National Provider Identifier
1104309988
Registry record updated Jun 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Jun 13, 2020

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

Authorized official

Name
Dr. Matthew Francis Gerdes, DPTNPI 1861727083
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200504000147 NJ Part B Supplier - Clinic/Group Practice 5698106813 Receives reassigned benefits from 1 practitioner
Practice locations: Manasquan, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.