Individual provider Active NPI

Cassidy Troy, DPT

  • Physical Therapist
  • Freehold, NJ
National Provider Identifier
1447910476
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02061300 Issued in NJ
Practice address
3 Paragon Way Ste 250
Freehold, NJ 07728-9578
Phone
(732) 431-2883
NPI assigned
Dec 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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 40QA02061300 NJ Primary

Addresses

Primary practice location

3 Paragon Way Ste 250
Freehold, NJ 07728-9578

Mailing address

3 Paragon Way Ste 250
Freehold, NJ 07728-9578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220121002506 NJ Practitioner - Physical Therapist in Private Practice 0840682928 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02061300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy Center CurrentSince Dec 28, 2021 Accepting new patients
Atlantic Physical Therapy Center Physical Therapist CurrentSince Dec 28, 2021 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients

Locations

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

3 Paragon Way
Ste 250
Freehold, NJ 07728
Phone (732) 431-2883

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

1077 State Route 34
Ste M
Matawan, NJ 07747
Phone (732) 970-7882

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

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787

Organizations & group practices 5

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1447910476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARAGON WAY STE 250",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARAGON WAY STE 250",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289578",
            "telephone_number": "732-431-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROY",
        "first_name": "CASSIDY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02061300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.