Jennifer Moore, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02283000 Issued in NJ

Practice address

156 State Route 15
Lafayette, NJ 07848-2607

Phone

(973) 862-6377

NPI assigned

Sep 6, 2024

Last updated

Sep 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Out of the Box Physical Therapy

  • Physical Therapist
  • Cedar Knolls, NJ
  • NPI 1205305257
  Medicare reassignment NPD
• Damon Physical Therapy

  • Physical Therapy Clinic/Center
  • Lafayette, NJ
  • NPI 1598386245

  Physical Therapist

  NPD
• Performance Pediatrics

  • Occupational Therapist
  • Lafayette, NJ
  • NPI 1457624827

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1376378448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 STATE ROUTE 15",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "078482607",
            "telephone_number": "973-862-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 STATE ROUTE 15",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "078482607",
            "telephone_number": "973-862-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Wing Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cedar Knolls",
            "state": "NJ",
            "postal_code": "079271024",
            "country_code": "US",
            "telephone_number": "862-260-9565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNIFER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02283000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather McBeth, LCSW
• Tiera Inez McCullough, CALA, CMA, CNA
• Shauna Menzella, DPT
• Michael G Hopkins DMD PA (Lafayette Family Dentistry)
• Doriskay Monroe
• Christi Murphy, MS, CCC, SLP
• National Mentor Healthcare, LLC (New Jersey MENTOR)
• Mary Jean Negri, RN, DC
• New Jersey Addiction Treatment Center, LLC (Sunrise House)
• Christina Kaylee Nied, MS, OTR/L

• Physical Therapist in Lafayette, NJ
• Providers in Lafayette, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.