Individual provider Active NPI

Aisling Marie Linehan, DPT

  • Physical Therapist
  • Lawrenceville, NJ
National Provider Identifier
1235431941
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020890 Issued in PA
Practice address
4056 Quakerbridge Rd
Suite 111
Lawrenceville, NJ 08648-4779
Phone
(609) 588-8602
Fax
(609) 588-8602
NPI assigned
Dec 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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 PT020890 PA Primary

Addresses

Primary practice location

4056 Quakerbridge Rd
Suite 111
Lawrenceville, NJ 08648-4779

Mailing address

5319 Wessex PL
Princeton, NJ 08540-6487
Phone (215) 356-7653

Other identifiers 1

IdentifierTypeStateIssuer
40QA01410700OtherNJLICENSE NJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000240 NJ Practitioner - Physical Therapist in Private Practice 3274790498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Sport Spine and Wellness LLCGroup PAC ID 1153658299, 11 clinicians

Practice addresses (Care Compare)

17 Main St
Suite 403
Robbinsville, NJ 08691-1436
Phone (609) 686-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020890PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Health Chiropractic CurrentSince Jun 16, 2019 Accepting new patients
Paragon Sport Spine & Wellness LLC Physical Therapist CurrentSince Feb 8, 2019 Accepting new patients

Locations

17 Main St
Ste 403
Robbinsville, NJ 08691
Phone (609) 686-2050

Organizations & group practices 2

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1235431941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 WESSEX PL",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406487",
            "telephone_number": "215-356-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 QUAKERBRIDGE RD",
            "address_2": "SUITE 111",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484779",
            "telephone_number": "609-588-8602",
            "fax_number": "609-588-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEHAN",
        "first_name": "AISLING",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NJ",
            "identifier": "40QA01410700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.