Individual provider Active NPI

Michelle Shearer, PT, DPT

  • Physical Therapist
  • Bridgewater, NJ
National Provider Identifier
1487028981
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01637800 Issued in NJ
Practice address
1081 Route 22 Ste 204
Bridgewater, NJ 08807-2921
Phone
(732) 427-8171
NPI assigned
Nov 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 40QA01637800 NJ Primary

Addresses

Primary practice location

1081 Route 22 Ste 204
Bridgewater, NJ 08807-2921

Mailing address

PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751

Other identifiers 1

IdentifierTypeStateIssuer
40QA01637800OtherNJPHYSICAL THERAPY

Other names 1

  • Michelle E Nielsen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160205000697 NJ Practitioner - Physical Therapist in Private Practice 1254635683 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince May 15, 2017 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince May 15, 2017 Accepting new patients

Locations

1081 US Highway 22
Ste 204
Bridgewater, NJ 08807
Phone (732) 427-8171

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

266-272 Chestnut St
Newark, NJ 07105
Phone (973) 322-7400

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

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

1430 Hooper Ave
Ste 201
Toms River, NJ 08753
Phone (732) 255-7888

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": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1487028981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 ROUTE 22 STE 204",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072921",
            "telephone_number": "732-427-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01637800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "40QA01637800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "NIELSEN",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.