Individual provider Active NPI

Jesse Louis Tierno

  • Physical Therapist
  • Marlton, NJ
National Provider Identifier
1154005197
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02191200
Practice address
999 Route 73 N
Marlton, NJ 08053-1227
Phone
(856) 821-6339
NPI assigned
Jun 12, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 40QA02191200 Primary

Addresses

Primary practice location

999 Route 73 N
Marlton, NJ 08053-1227

Mailing address

3 Snowberry CT
Sicklerville, NJ 08081-4108
Phone (856) 723-3734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920000945 NJ Practitioner - Physical Therapist in Private Practice 1759745045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

127 Ark Rd
Suite 23
Mount Laurel, NJ 08054-6302
Phone (856) 608-7733

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Institute of New Jersey, P.a. CurrentSince Sep 4, 2023 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Sep 4, 2023 Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

999 Route 73 N
Marlton, NJ 08053
Phone (856) 424-2929

999 Route 73 N
Ste 401
Marlton, NJ 08053

127 Ark Rd
Ste 23
Mount Laurel, NJ 08054
Phone (609) 714-7730

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.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1154005197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SNOWBERRY CT",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814108",
            "telephone_number": "856-723-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ROUTE 73 N",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531227",
            "telephone_number": "856-821-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNO",
        "first_name": "JESSE",
        "middle_name": "LOUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "40QA02191200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.