Individual provider Active NPI

Jessica Ann Deak, PT, DPT

  • Orthopedic Physical Therapist
  • Manalapan, NJ
National Provider Identifier
1316593460
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA01875900 Issued in NJ
Practice address
120 Craig Rd Ste 2
Manalapan, NJ 07726-3267
Phone
(732) 462-2162
Fax
(732) 462-2137
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA01875900 NJ Primary

Addresses

Primary practice location

120 Craig Rd Ste 2
Manalapan, NJ 07726-3267

Mailing address

120 Craig Rd
Ste 2
Manalapan, NJ 07726-3267
Phone (732) 462-2162

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916001933 NJ Practitioner - Physical Therapist in Private Practice 2860721958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DB Orthopedic Physical Therapy of Manalapan, LLCGroup PAC ID 1951554054, 3 clinicians

Practice addresses (Care Compare)

100 Craig Rd
Suite 108
Manalapan, NJ 07726-8731
Phone (732) 462-2162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01875900NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DB Orthopedic Physical Therapy of Manalapan, LLC CurrentSince Aug 16, 2019 Accepting new patients

Locations

100 Craig Rd
Ste 108
Manalapan, NJ 07726
Phone (732) 462-2162

120 Craig Rd
Ste 2
Manalapan, NJ 07726
Phone (732) 462-2162

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1316593460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CRAIG RD",
            "address_2": "STE 2",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263267",
            "telephone_number": "732-462-2162",
            "fax_number": "732-462-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CRAIG RD STE 2",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263267",
            "telephone_number": "732-462-2162",
            "fax_number": "732-462-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAK",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01875900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.