Active NPI
Edmund R. Pino, PHYSICAL THERAPIST
- Physical Therapist
- Brick, NJ
National Provider Identifier
1386828762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00703300
- Practice address
- 970 Route 70
Brick, NJ 08724-3502 - Phone
- (732) 206-8900
- NPI assigned
- Dec 21, 2007
- 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 | 40QA00703300 | NJ | Primary |
Addresses
Primary practice location
970 Route 70
Brick, NJ 08724-3502
Mailing address
15 Regina Dr
Brick, NJ 08724-2800
Phone (732) 458-1225
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00703300 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Orange Vamc | 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.
-
- Department of Veterans Affairs (VA) Pharmacy
- Toms River, NJ
- NPI 1780632802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1386828762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 REGINA DR",
"city": "BRICK",
"state": "NJ",
"postal_code": "087242800",
"telephone_number": "732-458-1225",
"fax_number": "732-458-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 ROUTE 70",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243502",
"telephone_number": "732-206-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINO",
"first_name": "EDMUND",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00703300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
- Amy Piekarski, SPEECH PATHOLOGIST
- Jeremiah Ramirez Pinca, CRNA
- Tami Marie Pindulic, LCSW
- Pineland Associates in Obstetrics-Gynecology,PA
- Pinnacle Rehabilitation & Sports Medicine,LLP
- Maria Ann Pipitone, LCADC, LCSW
- Elizabeth A Platenyk
- Platinum Home Care, Inc.
- Hunter Marie Platt
- Point Pleasant Radiology Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.