Organization Active NPI

Two River Physical Therapy of Ocean, LLC

  • Physical Therapy Clinic/Center
  • Ocean, NJ
National Provider Identifier
1366516494
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00646600 Issued in NJ
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

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Mr. Mark Andrew Cregle, PTNPI 1982646964
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20061122000318 NJ Part B Supplier - Clinic/Group Practice 7214935485 Receives reassigned benefits from 1 practitioner
Practice locations: Whiting, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.