Individual provider Active NPI

Eleanor Margaret Hagan, PT, MPT

  • Physical Therapist
  • Northfield, NJ
National Provider Identifier
1194712372
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00915700 Issued in NJ
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

Updated by the provider on Sep 24, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20050608000027 NJ Practitioner - Physical Therapist in Private Practice 7810930112 Reassigns benefits to 2 organizations

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
Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

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

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy Center Physical Therapist CurrentSince Jun 30, 2025 Accepting new patients
Atlantic Physical Therapy Center CurrentSince Jun 30, 2025 Accepting new patients
Seashore Pediatric Therapy Center PC Past Accepting new patients
Mainland Wellness and Rehabilitation Center,LLC PastSince Jun 1, 2001 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.

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.

Verify at the official NPI Registry.