Individual provider Active NPI

Theresa Sager

  • Behavior Technician
  • Pemberton, NJ
National Provider Identifier
1457869083
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-47140 Issued in NJ
Practice address
43 Elizabeth St
Pemberton, NJ 08068-1232
Phone
(609) 969-1455
Fax
(609) 353-1549
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-47140 NJ Primary

Addresses

Primary practice location

43 Elizabeth St
Pemberton, NJ 08068-1232

Mailing address

43 Elizabeth St
Pemberton, NJ 08068-1232
Phone (609) 969-1455

Other practice location 1

527 Wrightstown Sykesville Rd Unit 15
Wrightstown, NJ 08562-1530
Phone (609) 969-1455

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-18-47140NJMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Kidz Rehabilitation Behavior Technician PastSince Feb 1, 2012 Accepting new patients

Organizations & group practices 1

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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457869083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 ELIZABETH ST",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681232",
            "telephone_number": "609-969-1455",
            "fax_number": "609-353-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 ELIZABETH ST",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681232",
            "telephone_number": "609-969-1455",
            "fax_number": "609-353-1549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Wrightstown Sykesville Rd Unit 15",
            "address_purpose": "LOCATION",
            "city": "Wrightstown",
            "state": "NJ",
            "postal_code": "085621530",
            "country_code": "US",
            "telephone_number": "609-969-1455",
            "fax_number": "609-353-1549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGER",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "RBT-18-47140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pemberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.