Individual provider Active NPI

Alyson Clark

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1386044063
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01928700 Issued in NJ
Practice address
367 Lakehurst Rd
Toms River, NJ 08755-7330
Phone
(732) 573-6235
NPI assigned
Aug 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 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 40QA01928700 NJ Primary

Addresses

Primary practice location

367 Lakehurst Rd
Toms River, NJ 08755-7330

Mailing address

367 Lakehurst Rd
Toms River, NJ 08755-7330
Phone (732) 573-6235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913000340 NJ Practitioner - Physical Therapist in Private Practice 6204211261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Rehab Somerset PAGroup PAC ID 0547540809, 57 clinicians

Practice addresses (Care Compare)

470 Hwy 35
Red Bank, NJ 07701-5038
Phone (800) 518-0977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Nov 7, 2024 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Spine & Sports Medicine of Toms River, LLC Physical Therapist CurrentSince Aug 11, 2022 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Nov 7, 2024 Accepting new patients

Locations

470 Highway 35
Red Bank, NJ 07701

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

367 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 473-0158

175 Route 37 W
#R
Toms River, NJ 08755

Organizations & group practices 4

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": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1386044063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557330",
            "telephone_number": "732-573-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557330",
            "telephone_number": "732-573-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALYSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01928700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.