Active NPI
Eleanor Margaret Hagan, PT, MPT
- Physical Therapist
- Northfield, NJ
National Provider Identifier
1194712372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00915700
- Practice address
- 2 Jenny Lynn Dr
Northfield, NJ 08225-1532 - Phone
- (609) 412-4449
- Fax
- (609) 645-9459
- NPI assigned
- Oct 3, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00915700 | NJ | Primary |
Addresses
Primary practice location
2 Jenny Lynn Dr
Northfield, NJ 08225-1532
Mailing address
2 Jenny Lynn Dr
Northfield, NJ 08225-1532
Phone (609) 645-5058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1037 Route 70
Manchester, NJ 08759-5806
Phone (732) 408-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Physical Therapy Center | Physical Therapist | Current | Accepting new patients |
| Atlantic Physical Therapy Center | Current | Accepting new patients | |
| Seashore Pediatric Therapy Center PC | Past | Accepting new patients | |
| Mainland Wellness and Rehabilitation Center,LLC | Past | Accepting new patients |
Locations
314 Central Ave
Ste 2A
Linwood, NJ 08221
Phone (609) 365-8499
1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800
1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787
Organizations & group practices 5
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.
-
- Orthopedic Physical Therapist
- Toms River, NJ
- NPI 1801857917
-
- Physical Therapy Clinic/Center
- Linwood, NJ
- NPI 1932397643
-
- Hand Occupational Therapist
- Oakhurst, NJ
- NPI 1659945228
-
- Chiropractor
- Linwood, NJ
- NPI 1548314297
-
- Multi-Specialty Clinic/Center
- Manahawkin, NJ
- NPI 1396277083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1194712372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 JENNY LYNN DR",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082251532",
"telephone_number": "609-645-5058",
"fax_number": "609-645-9459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 JENNY LYNN DR",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082251532",
"telephone_number": "609-412-4449",
"fax_number": "609-645-9459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "ELEANOR",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"credential": "PT, MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00915700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.