Individual provider Active NPI

Richard Joseph Bohnert III, DPT

  • Physical Therapist
  • Manasquan, NJ
National Provider Identifier
1548046428
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02204700 Issued in NJ
Practice address
155 Main St
Manasquan, NJ 08736-3544
Phone
(732) 592-2224
NPI assigned
Sep 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 40QA02204700 NJ Primary

Addresses

Primary practice location

155 Main St
Manasquan, NJ 08736-3544

Mailing address

155 Main St
Manasquan, NJ 08736-3544
Phone (732) 592-2224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119002678 NJ Practitioner - Physical Therapist in Private Practice 1951753417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Orthopedic and Sports Therapy LLCGroup PAC ID 7810260999, 5 clinicians

Practice addresses (Care Compare)

155 Main St
Manasquan, NJ 08736-3544
Phone (732) 320-9069

3435 US
9 Unit 6B
Freehold, NJ 07728-3285
Phone (732) 929-6031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02204700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Orthopedic and Sports Therapy LLC Physical Therapist CurrentSince Nov 21, 2023 Accepting new patients

Locations

3435 US 9
Unit 6B
Freehold, NJ 07728
Phone (732) 929-6031

155 Main St
Manasquan, NJ 08736
Phone (732) 320-9069

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1548046428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363544",
            "telephone_number": "732-592-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363544",
            "telephone_number": "732-592-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNERT",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02204700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.