Individual provider Active NPI

Jessica Lyne Coladonato, D.P.T.

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1295131852
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01584200 Issued in NJ
Practice address
9 Mule Rd Ste E2
Toms River, NJ 08755-5052
Phone
(732) 473-1666
Fax
(732) 473-1601
NPI assigned
Nov 10, 2014
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 40QA01584200 NJ Primary

Addresses

Primary practice location

9 Mule Rd Ste E2
Toms River, NJ 08755-5052

Mailing address

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

Other practice location 1

1037 Route 70
Manchester, NJ 08759-5806
Phone (732) 408-1800

Other names 1

  • Jessica Lyne Hulse Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150112000449 NJ Practitioner - Physical Therapist in Private Practice 6204150758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Practice addresses (Care Compare)

1037 Route 70
Manchester, NJ 08759-5806
Phone (732) 408-1800

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy Center CurrentSince Dec 1, 2014 Accepting new patients
Atlantic Physical Therapy Center Physical Therapist CurrentSince Dec 1, 2014 Accepting new patients
Seashore Pediatric Therapy Center PC Past Accepting new patients

Locations

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 784-6545

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

9 Mule Rd
Ste E2
Toms River, NJ 08755
Phone (732) 473-1666

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1295131852",
    "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": "9 MULE RD STE E2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555052",
            "telephone_number": "732-473-1666",
            "fax_number": "732-473-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1037 Route 70",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NJ",
            "postal_code": "087595806",
            "country_code": "US",
            "telephone_number": "732-408-1800",
            "fax_number": "732-408-0704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLADONATO",
        "first_name": "JESSICA",
        "middle_name": "LYNE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01584200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HULSE",
            "middle_name": "LYNE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.