Gary Woerner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01833500 Issued in NJ

Practice address

3201 W Brigantine Ave
Brigantine, NJ 08203-1609

Phone

(609) 264-1666

Fax

(609) 264-8393

NPI assigned

Apr 13, 2017

Sex

Male

Sole proprietor

No

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.

• Coastal Physical Therapy and Wellness LLC

  • Physical Therapist
  • Brigantine, NJ
  • NPI 1326752213

  NJ, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Mobile Therapy Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1326495615

  NJ, Physical Therapist

  Medicare reassignment NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Physical Therapy and Wellness LLC 3 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2023.

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1205360583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W BRIGANTINE AVE",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031609",
            "telephone_number": "609-264-1666",
            "fax_number": "609-264-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W BRIGANTINE AVE",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031609",
            "telephone_number": "609-264-1666",
            "fax_number": "609-264-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Beiser Blvd",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199045773",
            "country_code": "US",
            "telephone_number": "302-741-0200",
            "fax_number": "302-741-0245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Heald Rd",
            "address_purpose": "LOCATION",
            "city": "Brigantine",
            "state": "NJ",
            "postal_code": "082032925",
            "country_code": "US",
            "telephone_number": "609-432-6081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOERNER",
        "first_name": "GARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01833500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris Michele Triolo, PT, MBA
• Luiza Triolo, PSYD, APN
• Walgreen Co
• Robert Emmit Ward, ATC
• West Shore PT Services

• All providers in Brigantine, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.