Individual provider Active NPI

Mary Kate Geisinger, DPT

  • Physical Therapist
  • Manahawkin, NJ
National Provider Identifier
1386158749
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01767200 Issued in NJ
Practice address
509 N Main St
Manahawkin, NJ 08050-3021
Phone
(609) 978-6565
NPI assigned
Nov 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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 40QA01767200 NJ Primary

Addresses

Primary practice location

509 N Main St
Manahawkin, NJ 08050-3021

Mailing address

424 S Main St
Forked River, NJ 08731-4654
Phone (609) 971-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180529000382 NJ Practitioner - Physical Therapist in Private Practice 9032474838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

509 N Main St
Manahawkin, NJ 08050-3021
Phone (609) 978-6565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Medical and Chiropractic LLC Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Thompson Medical and Chiropractic LLC CurrentSince Feb 1, 2018 Accepting new patients

Locations

509 N Main St
Manahawkin, NJ 08050
Phone (609) 978-6565

106 Apple St
Ste 100C
Tinton Falls, NJ 07724
Phone (732) 747-5022

Organizations & group practices 2

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1386158749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 S MAIN ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314654",
            "telephone_number": "609-971-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N MAIN ST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503021",
            "telephone_number": "609-978-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISINGER",
        "first_name": "MARY KATE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01767200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.