Individual provider Active NPI

David Lipow, PT DPT

  • Physical Therapist
  • Clark, NJ
National Provider Identifier
1447929633
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047547-01 Issued in NY
Practice address
77 Brant Ave Ste 101
Clark, NJ 07066-1540
Phone
(732) 538-4598
NPI assigned
Sep 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 047547-01 NY Primary

Addresses

Primary practice location

77 Brant Ave Ste 101
Clark, NJ 07066-1540

Mailing address

77 Brant Ave Ste 101
Clark, NJ 07066-1540
Phone (732) 538-4598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210929000329 NY Practitioner - Physical Therapist in Private Practice 4688071913 Reassigns benefits to 1 organization
I20250403002861 NJ Practitioner - Physical Therapist in Private Practice 4688071913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

77 Brant Ave
Clark, NJ 07066-1560
Phone (732) 499-4540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047547NYMDPharmacist
047547-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
New York Physical Therapy Management, PC Physical Therapist CurrentSince Jun 18, 2021 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

77 Brant Ave
Ste 101
Clark, NJ 07066
Phone (732) 290-1080

77 Brant Ave
Clark, NJ 07066
Phone (732) 499-4540

2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

1 Hollow Ln
Ste 214
North New Hyde Park, NY 11042
Phone (516) 482-0100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1447929633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BRANT AVE STE 101",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661540",
            "telephone_number": "732-538-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BRANT AVE STE 101",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661540",
            "telephone_number": "732-538-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPOW",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PT  DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047547-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.