Individual provider Active NPI

Patricia Maciborski, PT

  • Physical Therapist
  • Belle Mead, NJ
National Provider Identifier
1205803715
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2435 Issued in MA
Practice address
71 Grist Mill Dr
Belle Mead, NJ 08502-5505
Phone
(908) 874-4883
NPI assigned
Mar 2, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2435 MA Primary
Pediatric Physical Therapist 2251P0200X 40QA00308100 NJ

Addresses

Primary practice location

71 Grist Mill Dr
Belle Mead, NJ 08502-5505

Mailing address

71 Grist Mill Dr
Belle Mead, NJ 08502-5505
Phone (908) 874-4883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2435MAMDSpecialist
40QA00308100NJMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205803715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 GRIST MILL DR",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085025505",
            "telephone_number": "908-874-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 GRIST MILL DR",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085025505",
            "telephone_number": "908-874-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIBORSKI",
        "first_name": "PATRICIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "2435",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA00308100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Mead, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.