Active NPI
John Carl Bloodgood, PT
- Physical Therapist
- Long Branch, NJ
National Provider Identifier
1376896449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00584900
- Practice address
- 170 Morris Ave
Suite B
Long Branch, NJ 07740-8214 - Phone
- (732) 222-7900
- NPI assigned
- Oct 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00584900 | NJ | Primary |
Addresses
Primary practice location
170 Morris Ave
Suite B
Long Branch, NJ 07740-8214
Mailing address
16 Academy St
Farmingdale, NJ 07727-1226
Phone (908) 330-5382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00584900 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schwartz Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Long Branch, NJ
- NPI 1174676449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1376896449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ACADEMY ST",
"city": "FARMINGDALE",
"state": "NJ",
"postal_code": "077271226",
"telephone_number": "908-330-5382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MORRIS AVE",
"address_2": "SUITE B",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077408214",
"telephone_number": "732-222-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOODGOOD",
"first_name": "JOHN",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-26",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00584900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.