Individual provider Active NPI

David B. Anselmo, BS PT

  • Physical Therapist
  • Turnersville, NJ
National Provider Identifier
1124116249
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00465400 Issued in NJ
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

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
053276100OtherNJAMERIHEALTH
650012431OtherNJRAILROAD MEDICARE
2264844OtherNJUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 3 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Keys Physical Therapy Sports Medical Center, Inc Physical Therapist CurrentSince Aug 23, 1991 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.

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.

Verify at the official NPI Registry.