Individual provider Active NPI

Caitlin Herzog, PT, DPT

  • Physical Therapist
  • Point Pleasant Boro, NJ
National Provider Identifier
1336517846
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01783400 Issued in NJ
Practice address
2809 Route 88 Ste 2
Point Pleasant Boro, NJ 08742-2839
Phone
(732) 475-6745
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT024714 PA
Physical Therapist 225100000X 40QA01783400 NJ Primary

Addresses

Primary practice location

2809 Route 88 Ste 2
Point Pleasant Boro, NJ 08742-2839

Mailing address

2809 Route 88 Ste 2
Point Pleasant Boro, NJ 08742-2839
Phone (732) 475-6745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702000465 NJ Practitioner - Physical Therapist in Private Practice 6406166909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Rehabilitation and Sports Medicine, LLPGroup PAC ID 8628359122, 5 clinicians

Practice addresses (Care Compare)

2809 Route 88
Point Pleasant, NJ 08742-2839
Phone (732) 546-4294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patch Technique PLLC CurrentSince Apr 23, 2023 Accepting new patients
Pinnacle Rehabilitation & Sports Medicine,LLP Physical Therapist CurrentSince Jun 6, 2018 Accepting new patients

Locations

2809 Route 88
Ste 2
Point Pleasant Boro, NJ 08742
Phone (732) 475-6745

2809 Route 88
Point Pleasant Boro, NJ 08742
Phone (732) 475-6745

357 S Gulph Rd
Ste 310
Kng of Prussa, PA 19406
Phone (610) 265-2230

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1336517846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 ROUTE 88 STE 2",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422839",
            "telephone_number": "732-475-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 ROUTE 88 STE 2",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422839",
            "telephone_number": "732-475-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "CAITLIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024714",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01783400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.