Active NPI
Lisa Jerry, PT, DPT
- Physical Therapist
- Glassboro, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP044993T
- Practice address
- 707 N Main St
Glassboro, NJ 08028-1605 - Phone
- (856) 307-9700
- NPI assigned
- Mar 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305214146 | VA | |
| Physical Therapist | 225100000X | PT872756 | DC | |
| Physical Therapist | 225100000X | CP044993T | NJ | Primary |
Addresses
Primary practice location
707 N Main St
Glassboro, NJ 08028-1605
Mailing address
707 N Main St Ste 1
Glassboro, NJ 08028-1670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP044993T | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT, Inc. | Current | Accepting new patients | |
| Rehabclinics SPT Inc | Current | Accepting new patients | |
| Osprey Rehabilitation, LLC. | Physical Therapist | Current | Accepting new patients |
| Rehabclinics SPT Inc. | Current | Accepting new patients | |
| Osprey Rehabilitation, LLC. | Current | Accepting new patients | |
| Rehabclinics SPT Inc | Past | Accepting new patients |
Locations
2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320
707 N Main St
Glassboro, NJ 08028
Phone (856) 307-9700
707 N Main St
Ste 1
Glassboro, NJ 08028
Phone (856) 307-9700
240 S White Horse Pike
Ste C6
Hammonton, NJ 08037
Phone (609) 561-5308
127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- Hammonton, NJ
- NPI 1659085678
Physical Therapist
-
- Physical Therapy Clinic/Center
- Little Egg Harbor, NJ
- NPI 1699113688
-
- Physical Therapy Clinic/Center
- Linwood, NJ
- NPI 1255064044
-
- Physical Therapy Clinic/Center
- Moorestown, NJ
- NPI 1346246824
-
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
-
- Physical Therapy Clinic/Center
- Manahawkin, NJ
- NPI 1043271216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1558956243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 N MAIN ST STE 1",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N MAIN ST",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281605",
"telephone_number": "856-307-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERRY",
"first_name": "LISA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-04",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305214146",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT872756",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "CP044993T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.