Organization Active NPI

Jersey Shore Physical Therapy and Rehab

  • Physical Therapy Clinic/Center
  • Northfield, NJ
National Provider Identifier
1306996293
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00131700 Issued in NJ
Legal business name
JERSEY SHORE PHYSICAL THERAPY AND REHAB
Practice address
1423 Tilton Rd
Suite 10
Northfield, NJ 08225-1857
Phone
(609) 677-8778
Fax
(609) 677-9229
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Anthony John Visgil Jr., P.T.NPI 1295885176
Title
Owner Physical Therapist
Phone
(609) 677-8778

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 Therapy Clinic/Center 261QP2000X 40QA00131700 NJ Primary

Addresses

Primary practice location

1423 Tilton Rd
Suite 10
Northfield, NJ 08225-1857

Mailing address

1423 Tilton Rd
Suite 10
Northfield, NJ 08225-1857
Phone (609) 677-8778

National Provider Directory

National Provider Directory

Locations

1423 Tilton Rd
Ste 10
Northfield, NJ 08225
Phone (609) 677-8778

701 West Ave
Ste 201
Ocean City, NJ 08226
Phone (609) 399-3344

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1306996293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 TILTON RD",
            "address_2": "SUITE 10",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251857",
            "telephone_number": "609-677-8778",
            "fax_number": "609-677-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 TILTON RD",
            "address_2": "SUITE 10",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251857",
            "telephone_number": "609-677-8778",
            "fax_number": "609-677-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE PHYSICAL THERAPY AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "VISGIL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "609-677-8778",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00131700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.