Individual provider Active NPI

Clare Henry, PT, DPT

  • Physical Therapist
  • Somerset, NJ
National Provider Identifier
1508585126
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02103100 Issued in NJ
Practice address
9 Liberty LN
Somerset, NJ 08873-2812
Phone
(315) 762-3548
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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 40QA02103100 NJ Primary

Addresses

Primary practice location

9 Liberty LN
Somerset, NJ 08873-2812

Mailing address

9 Liberty LN
Somerset, NJ 08873-2812
Phone (315) 762-3548

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615003954 NJ Practitioner - Physical Therapist in Private Practice 1759749138 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Care at Home, LLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Next Level Physical Therapy Physical Therapist CurrentSince May 30, 2023 Accepting new patients

Locations

270 State Route 28
Bridgewater, NJ 08807
Phone (908) 722-7022

575 Route 28
Ste 206
Raritan, NJ 08869
Phone (908) 396-6909

4609 Nottingham Way
Trenton, NJ 08690
Phone (609) 436-9089

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1508585126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LIBERTY LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732812",
            "telephone_number": "315-762-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LIBERTY LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732812",
            "telephone_number": "315-762-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CLARE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02103100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.