Individual provider Active NPI

Jessica Todaro, DPT

  • Physical Therapist
  • Bordentown, NJ
National Provider Identifier
1366966038
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01735400 Issued in NJ
Practice address
2144 Route 130 Ste 12
Bordentown, NJ 08505-4628
Phone
(609) 817-1177
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 40QA01735400 NJ Primary

Addresses

Primary practice location

2144 Route 130 Ste 12
Bordentown, NJ 08505-4628

Mailing address

120 Susan Dr
Ewing, NJ 08638-1525
Phone (732) 299-5181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180910001111 NJ Practitioner - Physical Therapist in Private Practice 2860742038 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01735400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc. CurrentSince Feb 4, 2019 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Oct 1, 2018 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Feb 4, 2019 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Oct 1, 2018 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320

163 US Highway 130
Ste 1A
Bordentown, NJ 08505
Phone (609) 324-9320

540 Route 130
Ste G1
East Windsor, NJ 08520
Phone (609) 301-8489

999 Route 73 N
Ste 401
Marlton, NJ 08053

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

116 Washington Crossing Rd
Pennington, NJ 08534
Phone (267) 339-7843

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Interoperability endpoints

  • Direct secure messaging: jessica.abramo@rot.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1366966038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SUSAN DR",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086381525",
            "telephone_number": "732-299-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 ROUTE 130 STE 12",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085054628",
            "telephone_number": "609-817-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODARO",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01735400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.