Individual provider Active NPI

Marcus Kane Molyneux

  • Orthopedic Physical Therapist
  • Northfield, NJ
National Provider Identifier
1235956293
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA02262900 Issued in NJ
Practice address
801 Tilton Rd
Northfield, NJ 08225-1265
Phone
(609) 645-0505
NPI assigned
Sep 23, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA02262900 NJ Primary

Addresses

Primary practice location

801 Tilton Rd
Northfield, NJ 08225-1265

Mailing address

6056 English Creek Ave
Egg Harbor Township, NJ 08234-7263
Phone (908) 907-4203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107000068 NJ Practitioner - Physical Therapist in Private Practice 8426582974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osprey Rehabilitation LLCGroup PAC ID 7214302264, 54 clinicians

Practice addresses (Care Compare)

705 E Moss Mill Rd
Ridgewood SL at Smithville
Galloway Township, NJ 08205-4219
Phone (609) 378-1807

801 Tilton Rd
Northfield, NJ 08225-1265
Phone (609) 645-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC CurrentSince Oct 7, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC CurrentSince Oct 7, 2025 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Oct 7, 2024 Accepting new patients
Osprey Rehabilitation, LLC. Orthopedic CurrentSince Oct 7, 2024 Accepting new patients
Osprey Rehabilitation, LLC. Orthopedic Current Accepting new patients

Locations

801 Tilton Rd
Northfield, NJ 08225
Phone (609) 645-0505

Organizations & group practices 5

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1235956293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 ENGLISH CREEK AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347263",
            "telephone_number": "908-907-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251265",
            "telephone_number": "609-645-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLYNEUX",
        "first_name": "MARCUS",
        "middle_name": "KANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA02262900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.