NPIMap

Organization Active NPI

Joint Physical Therapy and Sports Medicine LLC

  • Physical Therapist
  • Middletown, NJ
National Provider Identifier
1295397073
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JOINT PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Practice address
40 Old Country Rd
Middletown, NJ 07748-1721
Phone
(908) 670-0861
NPI assigned
Jul 2, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Susan Elizabeth Medford, PTNPI 1053343657
Title
Director/Owner
Phone
(908) 670-0861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

40 Old Country Rd
Middletown, NJ 07748-1721

Mailing address

1416 Van Buren Ave
Brick, NJ 08724-2322
Phone (908) 670-0861

Other identifiers 1

IdentifierTypeStateIssuer
40QA00661800OtherNJPHYSICAL THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jointphysicaltherapy@comcast.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210608002630 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234539552 Receives reassigned benefits from 9 practitioners
Practice locations: Manalapan, NJ; Middletown, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1295397073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 VAN BUREN AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242322",
            "telephone_number": "908-670-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OLD COUNTRY RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077481721",
            "telephone_number": "908-670-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT PHYSICAL THERAPY AND SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "MEDFORD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "908-670-0861",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "40QA00661800",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jointphysicaltherapy@comcast.net",
            "affiliation": "N",
            "address_1": "40 Old Country Rd",
            "city": "Middletown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077481721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.