Individual provider Active NPI

Matthew F Crescenzo, PT

  • Physical Therapist
  • Hammonton, NJ
National Provider Identifier
1124369624
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01485600 Issued in NJ
Practice address
129 N White Horse Pike
Suite B
Hammonton, NJ 08037-1874
Phone
(609) 704-1980
Fax
(609) 704-9054
NPI assigned
Mar 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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 40QA01485600 NJ Primary

Addresses

Primary practice location

129 N White Horse Pike
Suite B
Hammonton, NJ 08037-1874

Mailing address

129 N White Horse Pike Ste B
Hammonton, NJ 08037-1874
Phone (609) 704-1980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130515000153 NJ Practitioner - Physical Therapist in Private Practice 1153568910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Orthopedic and Sports Physical Therapy PCGroup PAC ID 2567481476, 13 clinicians

Practice addresses (Care Compare)

129 N White Horse Pike
Suite B
Hammonton, NJ 08037-1983
Phone (609) 704-1980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Orthopedic & Sports Physical Therapy PC Physical Therapist CurrentSince Feb 1, 2013 Accepting new patients

Locations

129 N White Horse Pike
Ste B
Hammonton, NJ 08037
Phone (609) 704-1980

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": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1124369624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N WHITE HORSE PIKE STE B",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371874",
            "telephone_number": "609-704-1980",
            "fax_number": "609-704-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WHITE HORSE PIKE",
            "address_2": "SUITE B",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371874",
            "telephone_number": "609-704-1980",
            "fax_number": "609-704-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESCENZO",
        "first_name": "MATTHEW",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01485600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.