Active NPI
David B. Anselmo, BS PT
- Physical Therapist
- Turnersville, NJ
National Provider Identifier
1124116249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00465400
- Practice address
- 151 Fries Mill Rd
BLDG. 600, Suite 1
Turnersville, NJ 08012-2016 - Phone
- (856) 374-3707
- NPI assigned
- Oct 11, 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 | 40QA00465400 | NJ | Primary |
Addresses
Primary practice location
151 Fries Mill Rd
BLDG. 600, Suite 1
Turnersville, NJ 08012-2016
Mailing address
1712 Crowfoot LN
Williamstown, NJ 08094-8751
Phone (856) 881-5131
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053276100 | Other | NJ | AMERIHEALTH |
| 650012431 | Other | NJ | RAILROAD MEDICARE |
| 2264844 | Other | NJ | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031106000251 | NJ | Practitioner - Physical Therapist in Private Practice | 7810809092 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cross Keys Physical Therapy Sports Medicine Center Inc.
Practice addresses (Care Compare)
151 Fries Mill Rd
Turnersville, NJ 08012-2016
Phone (856) 374-3707
Merit-based Incentive Payment System (MIPS)
- Final score
- 20.24 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 67.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Keys Physical Therapy Sports Medical Center, Inc | Physical Therapist | Current | Accepting new patients |
Locations
181 N Broadway
Pennsville, NJ 08070
Phone (856) 678-8000
151 Fries Mill Rd
Ste 600
Turnersville, NJ 08012
Phone (856) 374-3707
Organizations & group practices 1
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 Therapist
- Turnersville, NJ
- NPI 1528128600
NJ, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1124116249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 CROWFOOT LN",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080948751",
"telephone_number": "856-881-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 FRIES MILL RD",
"address_2": "BLDG. 600, SUITE 1",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080122016",
"telephone_number": "856-374-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSELMO",
"first_name": "DAVID",
"middle_name": "B.",
"name_prefix": "Mr.",
"credential": "BS PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00465400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "053276100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "650012431",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2264844",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Turnersville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.