Jonathan Paul Stark, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01802200 Issued in NJ

Practice address

580 State Route 15
Sparta, NJ 07871-3483

Phone

(973) 862-4177

NPI assigned

Apr 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maximum Health Physical Therapy LLCGroup PAC ID 8123302635, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maximum Health Physical Therapy LLC

  • Physical Therapist
  • Budd Lake, NJ
  • NPI 1700326501

  NJ, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Maximum Health Physical Therapy of Long Valley, PC

  • Physical Therapy Clinic/Center
  • Long Valley, NJ
  • NPI 1467052209

  NJ, Physical Therapist

  Medicare reassignment NPD
• Trinity Rehab Somerset PA

  • Physical Therapist
  • Somerset, NJ
  • NPI 1245789064

  NJ, Physical Therapist

  Medicare reassignment NPD
• Trinity Rehab Somerset PA

  • Physical Therapy Clinic/Center
  • Wayne, NJ
  • NPI 1336747666
  NPD
• Trinity Rehab Somerset PA

  • Physical Therapy Clinic/Center
  • North Wales, PA
  • NPI 1144892852
  NPD

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1114556602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PARK ST APT 11D",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 STATE ROUTE 15",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713483",
            "telephone_number": "973-862-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01802200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon St. Angelo, APN
• Soraya St. Louis-Augustin
• Bonnie Joy Stackhouse, LCSW
• Ernest Michael Staehle, O.D.
• Kristin M Staple, LCSW
• Jamie Steglic, LPC
• Stephen a. Kowalsky, O.D.
• Susan Sterling, M.S.W., L.C.S.W.
• Jenny A Stone, D.O.
• Steven Michael Storch, PA-C

• All providers in Sparta, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.