Active NPI
Two River Physical Therapy of Ocean, LLC
- Physical Therapy Clinic/Center
- Ocean, NJ
National Provider Identifier
1366516494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 40QA00646600
- Legal business name
- TWO RIVER PHYSICAL THERAPY OF OCEAN, LLC
- Practice address
- 11 Seward Dr
Ocean, NJ 07712-3724 - Phone
- (732) 546-7073
- Fax
- (732) 546-7073
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Andrew Cregle, PT
- Title
- Owner
- Phone
- (732) 546-7073
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 40QA00646600 | NJ | Primary |
Addresses
Primary practice location
11 Seward Dr
Ocean, NJ 07712-3724
Mailing address
11 Seward Dr
Ocean, NJ 07712-3724
Phone (732) 546-7073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
400 Route 530
Whiting, NJ 08759
Phone (732) 350-8222
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Sea Girt, NJ
- NPI 1982646964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219276800000",
"number": "1366516494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SEWARD DR",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077123724",
"telephone_number": "732-546-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 SEWARD DR",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077123724",
"telephone_number": "732-546-7073",
"fax_number": "732-546-7073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWO RIVER PHYSICAL THERAPY OF OCEAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2008-08-21",
"status": "A",
"authorized_official_last_name": "CREGLE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-546-7073",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NJ",
"license": "40QA00646600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocean, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.