Individual provider Active NPI

Bridgett Elizabeth McCaffery O'Brien

  • Physical Therapist
  • Pennsville, NJ
National Provider Identifier
1366068595
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00767500 Issued in NJ
Practice address
95 Fort Mott Rd
Pennsville, NJ 08070-2839
Phone
(609) 420-9327
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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 40QA00767500 NJ Primary

Addresses

Primary practice location

95 Fort Mott Rd
Pennsville, NJ 08070-2839

Mailing address

95 Fort Mott Rd
Pennsville, NJ 08070-2839
Phone (609) 420-9327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA00767500NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1366068595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 FORT MOTT RD",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702839",
            "telephone_number": "609-420-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 FORT MOTT RD",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702839",
            "telephone_number": "609-420-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAFFERY O'BRIEN",
        "first_name": "BRIDGETT",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00767500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.