NPIMap

Organization Active NPI

Riptide Physical Therapy, Inc

  • Physical Therapist
  • Barnegat, NJ
National Provider Identifier
1376576363
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RIPTIDE PHYSICAL THERAPY, INC
Practice address
249 S Main St
Suite 1
Barnegat, NJ 08005-2301
Phone
(609) 607-0555
Fax
(609) 607-0178
NPI assigned
Jul 10, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Gerard P McHugh, PTNPI 1972524304
Title
Owner
Phone
(609) 607-0555

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

249 S Main St
Suite 1
Barnegat, NJ 08005-2301

Mailing address

249 S Main St
Suite 1
Barnegat, NJ 08005-2301
Phone (609) 607-0555

Other identifiers 1

IdentifierTypeStateIssuer
2626885000OtherNJAMERIHEALTH PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051219000036 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1850312083 Receives reassigned benefits from 7 practitioners
Practice locations: Barnegat, NJ

National Provider Directory

National Provider Directory

Locations

249 S Main St
Ste 1
Barnegat, NJ 08005
Phone (609) 607-0555

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1376576363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052301",
            "telephone_number": "609-607-0555",
            "fax_number": "609-607-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052301",
            "telephone_number": "609-607-0555",
            "fax_number": "609-607-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPTIDE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-607-0555",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PROVIDER #",
            "identifier": "2626885000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnegat, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.