Individual provider Active NPI

Monica T Thomas, PHYSICAL THERAPY

  • Physical Therapist
  • Bridgeton, NJ
National Provider Identifier
1164562575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00643700 Issued in NJ
Practice address
70 Manheim Ave
Suite 3
Bridgeton, NJ 08302-2136
Phone
(856) 455-9700
Fax
(856) 455-9791
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA00643700 NJ Primary

Addresses

Primary practice location

70 Manheim Ave
Suite 3
Bridgeton, NJ 08302-2136

Mailing address

704 Baltimore Ave
Wilmington, DE 19805-2526
Phone (302) 994-3804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164562575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 BALTIMORE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052526",
            "telephone_number": "302-994-3804",
            "fax_number": "856-455-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MANHEIM AVE",
            "address_2": "SUITE 3",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022136",
            "telephone_number": "856-455-9700",
            "fax_number": "856-455-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MONICA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00643700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.