Individual provider Active NPI

Rose Marie Burns, PT

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1437230182
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00354500 Issued in NJ
Practice address
1430 Hooper Ave Ste 201
Toms River, NJ 08753-2895
Phone
(732) 255-7888
Fax
(732) 855-9755
NPI assigned
Oct 18, 2006
Last updated
Mar 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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 40QA00354500 NJ Primary

Addresses

Primary practice location

1430 Hooper Ave Ste 201
Toms River, NJ 08753-2895

Mailing address

1430 Hooper Ave Ste 201
Toms River, NJ 08753-2895
Phone (732) 255-7888

Other practice location 1

457 Jack Martin Blvd
Brick, NJ 08724-7776
Phone (732) 840-1866

Other identifiers 1

IdentifierTypeStateIssuer
P00627288OtherNJRAIL ROAD MEDICARE

Other names 1

  • Rose Marie Gallagher Former name

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

LicenseStateTypeSpecialty
40QA00354500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients
Sportscare of America, PC Physical Therapist PastSince Jan 10, 2007 Accepting new patients

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, 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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1437230182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 HOOPER AVE STE 201",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532895",
            "telephone_number": "732-255-7888",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HOOPER AVE STE 201",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532895",
            "telephone_number": "732-255-7888",
            "fax_number": "732-855-9755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 Jack Martin Blvd",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087247776",
            "country_code": "US",
            "telephone_number": "732-840-1866",
            "fax_number": "732-840-1089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00354500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00627288",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "GALLAGHER",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.