Individual provider Active NPI

Michael S Stout, DPT

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1174982425
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01513200 Issued in NJ
Practice address
300 W Water St
Toms River, NJ 08753-6692
Phone
(732) 703-7988
NPI assigned
Feb 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiopulmonary Physical Therapist 2251C2600X 40QA01513200 NJ
Physical Therapist 225100000X 40QA01513200 NJ Primary

Addresses

Primary practice location

300 W Water St
Toms River, NJ 08753-6692

Mailing address

522 W Pestalozzi Ave
Egg Harbor City, NJ 08215-3320
Phone (609) 214-7522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170422000045 NJ Practitioner - Physical Therapist in Private Practice 2668758962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 W Water St
Suite D
Toms River, NJ 08753-6692
Phone (732) 703-7988

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01513200NJMDCardiopulmonary Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Regional Ear Nose & Throat Center LLC CurrentSince Feb 27, 2017 Accepting new patients
The Stout Balance & Dizziness Center LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients

Locations

1145 Beacon Ave
Manahawkin, NJ 08050
Phone (609) 597-1991

300 W Water St
Ste D
Toms River, NJ 08753
Phone (732) 505-9477

300 W Water St
Toms River, NJ 08753
Phone (732) 349-4030

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1174982425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W PESTALOZZI AVE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082153320",
            "telephone_number": "609-214-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536692",
            "telephone_number": "732-703-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-15",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "NJ",
            "license": "40QA01513200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01513200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.