NPIMap

Organization Active NPI

Pinnacle Rehabilitation & Sports Medicine,LLP

  • Orthopedic Physical Therapist
  • Brick, NJ
National Provider Identifier
1356890529
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QB00184600 Issued in NJ
Legal business name
PINNACLE REHABILITATION & SPORTS MEDICINE,LLP
Practice address
12 Polk Dr
Brick, NJ 08724-2720
Phone
(732) 546-4294
NPI assigned
Sep 28, 2016
Last updated
Sep 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Daniel Shand, PTANPI 1659823003
Title
Owner
Phone
(732) 546-4294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 40QB00184600 NJ Primary

Addresses

Primary practice location

12 Polk Dr
Brick, NJ 08724-2720

Mailing address

2809 Route 88
Point Pleasant Boro, NJ 08742-2839

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221000180 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628359122 Receives reassigned benefits from 12 practitioners
Practice locations: Normandy Beach, NJ; Point Pleasant Boro, NJ

National Provider Directory

National Provider Directory

Locations

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

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

2153 Highway 35
Ste 5
Sea Girt, NJ 08750
Phone (732) 359-6916

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1356890529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 ROUTE 88",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 POLK DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242720",
            "telephone_number": "732-546-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE REHABILITATION & SPORTS MEDICINE,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "SHAND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-546-4294",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QB00184600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.