Active NPI
Jennifer L Manipon, D.P.T.
- Physical Therapist
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01160600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126959 | Other | NJ | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01160600 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Saddle River, NJ
- NPI 1689022295
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
- Physical Therapist
- Clifton, NJ
- NPI 1609885235
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.