Individual provider Active NPI

Jodi Lynn Mascera, MSPT

  • Physical Therapist
  • Hackettstown, NJ
National Provider Identifier
1437230620
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00883200 Issued in NJ
Practice address
1885 State Highway 57, Suite 5
Hackettstown, NJ 07840
Phone
(908) 852-5400
Fax
(908) 852-5655
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 40QA00883200 NJ Primary

Addresses

Primary practice location

1885 State Highway 57, Suite 5
Hackettstown, NJ 07840

Mailing address

1885 State Highway 57, Suite 5
Hackettstown, NJ 07840
Phone (908) 852-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090626000345 NJ Practitioner - Physical Therapist in Private Practice 6800994922 Reassigns benefits to 2 organizations
I20210702000193 PA Practitioner - Physical Therapist in Private Practice 6800994922 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00883200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Physical Therapy LLC Physical Therapist CurrentSince Oct 25, 2006 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
St. Luke'S Warren Hospital, Inc. Past Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

7 Carnegie Plz
Cherry Hill, NJ 08003

1885 State Route 57
Ste 5
Hackettstown, NJ 07840
Phone (908) 852-5400

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437230620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 STATE HIGHWAY 57, SUITE 5",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-852-5400",
            "fax_number": "908-852-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 STATE HIGHWAY 57, SUITE 5",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-852-5400",
            "fax_number": "908-852-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCERA",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00883200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.