Individual provider Active NPI

Gregory O'Connor, DPT

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1427424258
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01867400 Issued in NJ
Practice address
780 Route 37 W Ste 210
Toms River, NJ 08755-5059
Phone
(732) 736-7007
NPI assigned
Aug 16, 2015
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT006235 PA
Physical Therapist 225100000X 40QA01867400 NJ Primary

Addresses

Primary practice location

780 Route 37 W Ste 210
Toms River, NJ 08755-5059

Mailing address

780 Route 37 W Ste 210
Toms River, NJ 08755-5059
Phone (327) 736-7007

Other practice location 1

70 S Stadium Dr
Mansfield, PA 16933-1608
Phone (570) 662-4467

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190822002990 NJ Practitioner - Physical Therapist in Private Practice 1153659537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute of Manual Therapy LLCGroup PAC ID 7719158047, 4 clinicians
Hands on Physical Therapy Whiting LLCGroup PAC ID 4981145018, 4 clinicians

Practice addresses (Care Compare)

224 Jack Martin Blvd
Unit E 4
Brick, NJ 08724-7772
Phone (732) 746-3933

60 Lacey Rd
Whiting, NJ 08759-2921
Phone (732) 849-5195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01867400NJMDPhysical Therapist
RT006235PAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Physical Therapy Whiting LLC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Institute of Manual Therapy LLC CurrentSince Jul 29, 2019 Accepting new patients
Coastal Urology Associates PA PastSince Jul 29, 2019 Accepting new patients

Locations

224 Jack Martin Blvd
Ste E4
Brick, NJ 08724
Phone (484) 686-5343

224 Jack Martin Blvd
Unit E4
Brick, NJ 08724
Phone (732) 508-2888

780 Route 37 W
Ste 210
Toms River, NJ 08755
Phone (732) 736-7007

60 Lacey Rd
Whiting, NJ 08759
Phone (732) 408-4492

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1427424258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ROUTE 37 W STE 210",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555059",
            "telephone_number": "327-736-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ROUTE 37 W STE 210",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555059",
            "telephone_number": "732-736-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 S Stadium Dr",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "PA",
            "postal_code": "169331608",
            "country_code": "US",
            "telephone_number": "570-662-4467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "GREGORY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-16",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT006235",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01867400",
            "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 Jul 15, 2019; 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.