Organization Active NPI

Netcong Physical Therapy

  • Physical Therapist
  • Netcong, NJ
National Provider Identifier
1215929559
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NETCONG PHYSICAL THERAPY
Practice address
40 Main St
Netcong, NJ 07857-1111
Phone
(973) 448-1800
Fax
(973) 448-9955
NPI assigned
Aug 22, 2005
Last updated
Jul 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Mrs. Annette M Forsythe
Title
Vice President & Cfo
Phone
(973) 448-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

40 Main St
Netcong, NJ 07857-1111

Mailing address

40 Main St
Netcong, NJ 07857-1111
Phone (973) 448-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050224000867 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2163475609 Receives reassigned benefits from 1 practitioner
Practice locations: Netcong, NJ

National Provider Directory

National Provider Directory

Locations

123 Ledgewood Ave
Ste 1B
Netcong, NJ 07857
Phone (973) 448-1800

40 Main St
Netcong, NJ 07857
Phone (973) 448-1800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1215929559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "city": "NETCONG",
            "state": "NJ",
            "postal_code": "078571111",
            "telephone_number": "973-448-1800",
            "fax_number": "973-448-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "city": "NETCONG",
            "state": "NJ",
            "postal_code": "078571111",
            "telephone_number": "973-448-1800",
            "fax_number": "973-448-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETCONG PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "FORSYTHE",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "973-448-1800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Netcong, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.