Active NPI
Allan Bertol, PT, DPT
- Physical Therapist
- Little Egg Harbor TWP, NJ
National Provider Identifier
1235598699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01154500
- Practice address
- 1001 Center St
Little Egg Harbor TWP, NJ 08087-1347 - Phone
- (609) 296-9292
- NPI assigned
- Feb 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01154500 | NJ | Primary |
Addresses
Primary practice location
1001 Center St
Little Egg Harbor TWP, NJ 08087-1347
Mailing address
635 Duquesne Blvd
Brick, NJ 08723-5073
Phone (732) 255-2145
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01154500 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455408000000",
"number": "1235598699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 DUQUESNE BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087235073",
"telephone_number": "732-255-2145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CENTER ST",
"city": "LITTLE EGG HARBOR TWP",
"state": "NJ",
"postal_code": "080871347",
"telephone_number": "609-296-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTOL",
"first_name": "ALLAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-14",
"last_updated": "2016-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01154500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Egg Harbor TWP, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.