Individual provider Active NPI

Tobias F Chislom Jr., DR.

  • Physical Therapist
  • Cape May Court House, NJ
National Provider Identifier
1487496428
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02249300 Issued in NJ
Practice address
591 Route 9 S
Cape May Court House, NJ 08210-2369
Phone
(609) 463-6344
NPI assigned
Jun 11, 2024
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 40QA02249300 NJ Primary

Addresses

Primary practice location

591 Route 9 S
Cape May Court House, NJ 08210-2369

Mailing address

600 Vick Ave
Cape May Court House, NJ 08210-3276
Phone (609) 231-4596

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
40QA02249300NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1487496428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 VICK AVE",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082103276",
            "telephone_number": "609-231-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 ROUTE 9 S",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102369",
            "telephone_number": "609-463-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISLOM",
        "first_name": "TOBIAS",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "DR.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02249300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.