Individual provider Active NPI

Jeffrey T Dillon, MSPT

  • Physical Therapist
  • Hackettstown, NJ
National Provider Identifier
1194757757
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00964700 Issued in NJ
Practice address
1885 State Route 57 Ste 5
Hackettstown, NJ 07840-3487
Phone
(908) 852-5400
Fax
(908) 852-5400
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 40QA00964700 NJ Primary

Addresses

Primary practice location

1885 State Route 57 Ste 5
Hackettstown, NJ 07840-3487

Mailing address

9 Fawnridge Dr
Long Valley, NJ 07853-3241
Phone (908) 234-2488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000717 NJ Practitioner - Physical Therapist in Private Practice 2961399498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2017 Accepting new patients
Activecare Physical Therapy LLC Physical Therapist Past Accepting new patients
St. Luke's Warren Hospital, Inc. PastSince Jan 1, 2017 Accepting new patients

Locations

1885 State Route 57
Ste 5
Hackettstown, NJ 07840
Phone (908) 852-5400

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194757757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FAWNRIDGE DR",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078533241",
            "telephone_number": "908-234-2488",
            "fax_number": "908-234-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 STATE ROUTE 57 STE 5",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403487",
            "telephone_number": "908-852-5400",
            "fax_number": "908-852-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "JEFFREY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00964700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.