Individual provider Active NPI

Jennifer Vista Paul, MSPT

  • Physical Therapist
  • Englishtown, NJ
National Provider Identifier
1306836473
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA0949900 Issued in NJ
Practice address
14 Route 520
Suite C
Englishtown, NJ 07726-8217
Phone
(732) 972-5565
Fax
(732) 972-5562
NPI assigned
Oct 28, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 QA0949900 NJ Primary

Addresses

Primary practice location

14 Route 520
Suite C
Englishtown, NJ 07726-8217

Mailing address

4 Friar LN
Manalapan, NJ 07726-2612
Phone (732) 972-2686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041113000049 NJ Practitioner - Physical Therapist in Private Practice 2466416136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

2105 W County Line Rd
Suite 5
Jackson, NJ 08527-2301
Phone (732) 730-0505

418 Clifton Ave
Suite 304
Lakewood, NJ 08701-3750
Phone (640) 650-7098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA0949900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Rehab Professionals, Inc. Physical Therapist CurrentSince May 10, 2021 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Shoshana Rose Physical Therapy Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

14 Route 520
Ste C
Englishtown, NJ 07726
Phone (732) 547-5425

2105 W County Line Rd
Ste 5
Jackson, NJ 08527
Phone (732) 730-0505

418 Clifton Ave
Ste 304
Lakewood, NJ 08701
Phone (640) 650-7098

345 Union Hill Rd
Manalapan, NJ 07726
Phone (732) 536-4705

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306836473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FRIAR LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077262612",
            "telephone_number": "732-972-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ROUTE 520",
            "address_2": "SUITE C",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268217",
            "telephone_number": "732-972-5565",
            "fax_number": "732-972-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JENNIFER",
        "middle_name": "VISTA",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA0949900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englishtown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.