Individual provider Active NPI

Courtney Joan Buzzell, PT, DPT, OCS

  • Physical Therapist
  • Clark, NJ
National Provider Identifier
1174359236
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01864800 Issued in NJ
Practice address
1180 Raritan Rd
Clark, NJ 07066-1311
Phone
(908) 797-2009
NPI assigned
Sep 13, 2024
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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 40QA01864800 NJ Primary

Addresses

Primary practice location

1180 Raritan Rd
Clark, NJ 07066-1311

Mailing address

1000 Schindler Dr Apt 256
South Amboy, NJ 08879-1391
Phone (908) 797-2009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328002072 NJ Practitioner - Physical Therapist in Private Practice 4284157421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1180 Raritan Rd
Clark, NJ 07066-1311
Phone (848) 308-4515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Jan 24, 2025 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. Physical Therapist CurrentSince Jan 24, 2025 Accepting new patients

Locations

1180 Raritan Rd
Clark, NJ 07066
Phone (848) 308-4515

135 NJ 35
Eatontown, NJ 07724
Phone (848) 308-4911

3499 US Highway 9
Freehold, NJ 07728
Phone (732) 577-1199

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1174359236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SCHINDLER DR APT 256",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791391",
            "telephone_number": "908-797-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661311",
            "telephone_number": "908-797-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZZELL",
        "first_name": "COURTNEY",
        "middle_name": "JOAN",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01864800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.