Active NPI
Matthew J Redmond, DPT
- Physical Therapist
- Marmora, NJ
National Provider Identifier
1124087424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00737700
- Practice address
- 210 S Shore Rd Ste 203
Marmora, NJ 08223-1271 - Phone
- (609) 390-2400
- Fax
- (609) 390-9587
- NPI assigned
- Mar 23, 2006
- 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 | 40QA00737700 | NJ | Primary |
Addresses
Primary practice location
210 S Shore Rd Ste 203
Marmora, NJ 08223-1271
Mailing address
210 S Shore Rd Ste 203
Marmora, NJ 08223-1271
Phone (609) 390-2400
Other practice location 1
24 MacArthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-1991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 S Shore Rd
Suite 203
Marmora, NJ 08223-1263
Phone (609) 390-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osprey Rehabilitation, LLC. | Current | Accepting new patients | |
| Osprey Rehabilitation, LLC. | Current | Accepting new patients | |
| Osprey Rehabilitation, LLC. | Physical Therapist | Current | Accepting new patients |
| Rehabclinics SPT Inc | Past | Accepting new patients |
Locations
4622 Black Horse Pike
Mays Landing, NJ 08330
Phone (609) 893-1200
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Hammonton, NJ
- NPI 1659085678
Physical Therapist
-
- Physical Therapy Clinic/Center
- Linwood, NJ
- NPI 1255064044
-
- Physical Therapy Clinic/Center
- Marmora, NJ
- NPI 1760197073
-
- Physical Therapy Clinic/Center
- Manahawkin, NJ
- NPI 1043271216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596326400000",
"number": "1124087424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S SHORE RD STE 203",
"city": "MARMORA",
"state": "NJ",
"postal_code": "082231271",
"telephone_number": "609-390-2400",
"fax_number": "609-390-9587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S SHORE RD STE 203",
"city": "MARMORA",
"state": "NJ",
"postal_code": "082231271",
"telephone_number": "609-390-2400",
"fax_number": "609-390-9587"
}
],
"practiceLocations": [
{
"address_1": "24 MacArthur Blvd",
"address_purpose": "LOCATION",
"city": "Somers Point",
"state": "NJ",
"postal_code": "082441776",
"country_code": "US",
"telephone_number": "609-927-1991",
"fax_number": "609-926-0075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDMOND",
"first_name": "MATTHEW",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2020-08-02",
"certification_date": "2020-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00737700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marmora, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.