Active NPI
James Alan Shimp, MPT
- Physical Therapist
- Elmer, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QAO5832
- Practice address
- 45 Broad St
Physical Therapy Services,Rutala,Ingemi,Barbara,LLC
Elmer, NJ 08318-2201 - Phone
- (856) 358-6200
- Fax
- (856) 358-0077
- NPI assigned
- Mar 2, 2006
- Last updated
- Apr 28, 2011
- 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 | QAO5832 | NJ | Primary |
Addresses
Primary practice location
45 Broad St
Physical Therapy Services,Rutala,Ingemi,Barbara,LLC
Elmer, NJ 08318-2201
Mailing address
209 Porchtown Rd
Pittsgrove, NJ 08318-4522
Phone (856) 358-7797
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QAO5832 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Tri-County Home and Hospice Care,LLC | Current | Accepting new patients | |
| Tri-County Home and Hospice Care,LLC | Current | Accepting new patients | |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc | Physical Therapist | Current | Accepting new patients |
Locations
70 Manheim Ave
Ste 3
Bridgeton, NJ 08302
Phone (856) 455-9700
45 Broad St
Elmer, NJ 08318
Phone (856) 358-6200
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
600 Jessup Rd
Ste 100A
West Deptford, NJ 08086
Phone (856) 845-8220
200 Campbell Dr
Ste 107
Willingboro, NJ 08046
Phone (609) 614-3997
1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Hoboken, NJ
- NPI 1861623753
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
-
dba BAYADA at Inspira, Home Health and Hospice
- Community Based Hospice Care Agency
- West Deptford, NJ
- NPI 1427419001
-
dba BAYADA at Inspira, Home Health and Hospice
- Home Health Agency
- West Deptford, NJ
- NPI 1629431481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1285601864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 PORCHTOWN RD",
"city": "PITTSGROVE",
"state": "NJ",
"postal_code": "083184522",
"telephone_number": "856-358-7797",
"fax_number": "856-358-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 BROAD ST",
"address_2": "PHYSICAL THERAPY SERVICES,RUTALA,INGEMI,BARBARA,LLC",
"city": "ELMER",
"state": "NJ",
"postal_code": "083182201",
"telephone_number": "856-358-6200",
"fax_number": "856-358-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMP",
"first_name": "JAMES",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QAO5832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmer, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.