Individual provider Active NPI

Jennifer L Manipon, D.P.T.

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1316956972
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01160600 Issued in NJ
Practice address
1011 Clifton Ave
Suite 5 2ND Floor
Clifton, NJ 07013-3518
Phone
(973) 778-1134
Fax
(973) 614-1530
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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 40QA01160600 NJ Primary

Addresses

Primary practice location

1011 Clifton Ave
Suite 5 2ND Floor
Clifton, NJ 07013-3518

Mailing address

65 Sandra Dr
Totowa, NJ 07512-1131
Phone (973) 778-1134

Other identifiers 1

IdentifierTypeStateIssuer
126959OtherNJGHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000375 NJ Practitioner - Physical Therapist in Private Practice 0345342374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

1139 Hamburg Tpke
Wayne, NJ 07470-5055
Phone (973) 315-5045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01160600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Nov 19, 2018 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Nov 19, 2018 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Physical Therapy of Clifton, P.a. Physical Therapist Past Accepting new patients

Locations

1011 Clifton Ave
Clifton, NJ 07013
Phone (973) 471-8200

1011 Clifton Ave
Ste 5
Clifton, NJ 07013
Phone (973) 778-1134

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

79 Hudson St
Hoboken, NJ 07030
Phone (201) 792-1170

80 Mill St
#1
Newton, NJ 07860
Phone (973) 940-7311

1139 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 315-5045

Organizations & group practices 5

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1316956972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SANDRA DR",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121131",
            "telephone_number": "973-778-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CLIFTON AVE",
            "address_2": "SUITE 5 2ND FLOOR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133518",
            "telephone_number": "973-778-1134",
            "fax_number": "973-614-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIPON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01160600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "126959",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.