Individual provider Active NPI

Victoria Pickersgill, D.P.T.

  • Physical Therapist
  • Lakewood, NJ
National Provider Identifier
1285003269
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01623800 Issued in NJ
Practice address
395 Route 70
Unit 210
Lakewood, NJ 08701-5824
Phone
(732) 905-7818
Fax
(732) 905-7754
NPI assigned
Sep 18, 2015
Last updated
Sep 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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 40QA01623800 NJ Primary

Addresses

Primary practice location

395 Route 70
Unit 210
Lakewood, NJ 08701-5824

Mailing address

1372 Route 9
Building #2
Toms River, NJ 08755-4038
Phone (732) 240-9296

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1285003269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 ROUTE 9",
            "address_2": "BUILDING #2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554038",
            "telephone_number": "732-240-9296",
            "fax_number": "732-240-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 ROUTE 70",
            "address_2": "UNIT 210",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015824",
            "telephone_number": "732-905-7818",
            "fax_number": "732-905-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERSGILL",
        "first_name": "VICTORIA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01623800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.