Jennifer Marie Boyle, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211454 Issued in VA

Practice address

50 Williams Pkwy Unit D
East Hanover, NJ 07936

Phone

(973) 585-6008

Fax

(804) 222-0748

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endgame Physical TherapyGroup PAC ID 5799128773, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Endgame Physical Therapy

  • Orthopedic Physical Therapist
  • Succasunna, NJ
  • NPI 1407637390
  Medicare reassignment Care Compare group NPD
• Natty Bandasak Physio Performance

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1770072142
  Medicare reassignment NPD
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1457389595
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1356868178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2417",
            "fax_number": "540-667-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WILLIAMS PKWY UNIT D",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "07936",
            "telephone_number": "973-585-6008",
            "fax_number": "804-222-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Augustin Bernhard, D.M.D.
• Cheryl Michelle Berz, PHARMD
• Dina Bieber
• Bridget Nadine Bielskie, DPT
• Sheryl Bogardus, BCBA
• Christopher Manuel Bregna, PHARMD/MBA
• Morgan Buckley, MSOT
• Matthew Budesheim
• Katelyn Budhai
• Wazim Buksh, MD

• Physical Therapist in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.