Bar Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BAR PHYSICAL THERAPY

Practice address

233 S Broadway Unit B4
Pennsville, NJ 08070-2737

Phone

(856) 517-3044

NPI assigned

Aug 9, 2024

Last updated

Aug 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Supernavage, MSPTNPI 1306992367

Title

Owner

Phone

(302) 383-3502

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason James Supernavage, MSPT

  • Physical Therapist
  • Carneys Point, NJ
  • NPI 1306992367
  NPD Authorized official

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1437980729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S BROADWAY UNIT B4",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702737",
            "telephone_number": "856-517-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S BROADWAY UNIT B4",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702737",
            "telephone_number": "856-517-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "SUPERNAVAGE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-383-3502",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Pennsville, NJ
• Providers in Pennsville, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.