Active NPI
Personalized Physical Therapy, Inc
- Physical Therapist
- Toms River, NJ
National Provider Identifier
1407954563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00771300
- Legal business name
- PERSONALIZED PHYSICAL THERAPY, INC
- Practice address
- 325 W Water Street
Suite 1
Toms River, NJ 08753 - Phone
- (732) 349-4170
- Fax
- (732) 349-6758
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jessica Mineo
- Title
- Administrator
- Phone
- (732) 349-4170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00771300 | NJ | Primary |
Addresses
Primary practice location
325 W Water Street
Suite 1
Toms River, NJ 08753
Mailing address
325 W Water Street
Suite 1
Toms River, NJ 08753
Phone (732) 349-4170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
325 W Water St
Fl 1
Toms River, NJ 08753
Phone (732) 349-4170
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Toms River, NJ
- NPI 1093897530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363651200000",
"number": "1407954563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W WATER STREET",
"address_2": "SUITE 1",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08753",
"telephone_number": "732-349-4170",
"fax_number": "732-349-6758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W WATER STREET",
"address_2": "SUITE 1",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08753",
"telephone_number": "732-349-4170",
"fax_number": "732-349-6758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONALIZED PHYSICAL THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2013-03-19",
"status": "A",
"authorized_official_last_name": "MINEO",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "732-349-4170",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00771300",
"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 Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.