Organization Active NPI

Inner Dynamics Toms River LLC

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1376018838
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INNER DYNAMICS TOMS RIVER LLC
Practice address
167 Route 37 W Ste 2
Toms River, NJ 08755-8046
Phone
(732) 506-3471
Fax
(732) 551-2318
NPI assigned
Oct 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Heather Farquharson
Title
Office Manager
Phone
(732) 506-3471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

167 Route 37 W Ste 2
Toms River, NJ 08755-8046

Mailing address

167 Route 37 W Ste 2
Toms River, NJ 08755-8046
Phone (732) 506-3471

Other names 1

  • Inner Dynamics Physical Therapy of Toms River Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181226000092 NJ Part B Supplier - Clinic/Group Practice 6608111471 Receives reassigned benefits from 6 practitioners
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

167 Route 37 W
Toms River, NJ 08755

167 Route 37 W
Ste 2
Toms River, NJ 08755
Phone (732) 506-3471

Practitioners & affiliated clinicians

Practitioners 6

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": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1376018838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 ROUTE 37 W STE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558046",
            "telephone_number": "732-506-3471",
            "fax_number": "732-551-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 ROUTE 37 W STE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558046",
            "telephone_number": "732-506-3471",
            "fax_number": "732-551-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER DYNAMICS TOMS RIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "FARQUHARSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-506-3471"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Dynamics Physical Therapy of Toms River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.