Individual provider Active NPI

Todd M. Barge, MPT

  • Physical Therapist
  • Medford, NJ
National Provider Identifier
1396930848
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01255400 Issued in NJ
Practice address
128 Route 70
Suite 2C
Medford, NJ 08055-2371
Phone
(609) 953-7227
Fax
(609) 953-2188
NPI assigned
Sep 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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 40QA01255400 NJ Primary

Addresses

Primary practice location

128 Route 70
Suite 2C
Medford, NJ 08055-2371

Mailing address

128 Route 70
Suite 2C
Medford, NJ 08055-2371
Phone (609) 953-7227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130501000010 NJ Practitioner - Physical Therapist in Private Practice 9133371875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics SPT IncGroup PAC ID 7113834102, 101 clinicians

Practice addresses (Care Compare)

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062-2623
Phone (856) 478-0275

2144 Route 130 N
Unit 12 Novacare Rehabilitation
Bordentown, NJ 08505-4628
Phone (609) 817-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01255400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT, Inc. CurrentSince Jun 13, 2022 Accepting new patients
Rehabclinics SPT Inc CurrentSince Jun 13, 2022 Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients

Locations

2103 Route 541
Burlington Township, NJ 08016
Phone (609) 386-1460

128 Route 70
Ste 2C
Medford, NJ 08055
Phone (609) 953-7222

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

Organizations & group practices 3

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": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1396930848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ROUTE 70",
            "address_2": "SUITE 2C",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552371",
            "telephone_number": "609-953-7227",
            "fax_number": "609-953-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROUTE 70",
            "address_2": "SUITE 2C",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552371",
            "telephone_number": "609-953-7227",
            "fax_number": "609-953-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGE",
        "first_name": "TODD",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01255400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.