Individual provider Active NPI

Karen L Barlow-Lisk, PT

  • Physical Therapist
  • Manasquan, NJ
National Provider Identifier
1316094956
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00453500 Issued in NJ
Practice address
1904 Atlantic Ave
Manasquan, NJ 08736-1006
Phone
(732) 528-2139
NPI assigned
Jan 5, 2007
Last updated
Feb 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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 40QA00453500 NJ Primary

Addresses

Primary practice location

1904 Atlantic Ave
Manasquan, NJ 08736-1006

Mailing address

66 W Gilbert St
Suite 100
Red Bank, NJ 07701-4947
Phone (732) 212-0060

Other identifiers 1

IdentifierTypeStateIssuer
P00367279OtherNJRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070216000150 NJ Practitioner - Physical Therapist in Private Practice 0244332542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
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)

2107 Route 35
Holmdel, NJ 07733-2795
Phone (732) 856-9791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00453500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Team Monmouth Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

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

1 Bethany Rd
Ste 27
Hazlet, NJ 07730
Phone (732) 739-5545

2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065

1904 Atlantic Ave
Manasquan, NJ 08736
Phone (732) 292-4363

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

325 Maple Ave
Red Bank, NJ 07701
Phone (732) 292-4363

34 Mountain Blvd
Warren, NJ 07059
Phone (908) 222-0515

100 State Route 36
Ste 2P
West Long Branch, NJ 07764
Phone (732) 741-1119

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

Organizations & group practices 2

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1316094956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "address_2": "SUITE 100",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077014947",
            "telephone_number": "732-212-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 ATLANTIC AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361006",
            "telephone_number": "732-528-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLOW-LISK",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00453500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00367279",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.