Individual provider Active NPI

Peter John Bennett Jr., DPT

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1598435273
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02044500 Issued in NJ
Practice address
810 Hooper Ave
Toms River, NJ 08753-7719
Phone
(732) 281-3200
NPI assigned
Sep 15, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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 40QA02044500 NJ Primary

Addresses

Primary practice location

810 Hooper Ave
Toms River, NJ 08753-7719

Mailing address

424 S Main St
Forked River, NJ 08731-4654
Phone (609) 971-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211215002051 NJ Practitioner - Physical Therapist in Private Practice 5294126835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

810 Hooper Ave
Suite 1
Toms River, NJ 08753-7719
Phone (732) 281-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02044500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Medical and Chiropractic LLC CurrentSince Oct 11, 2021 Accepting new patients
Thompson Medical and Chiropractic LLC Physical Therapist CurrentSince Oct 11, 2021 Accepting new patients

Locations

525 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 785-1166

106 Apple St
Ste 100C
Tinton Falls, NJ 07724
Phone (732) 747-5022

810 Hooper Ave
Toms River, NJ 08753
Phone (732) 281-3200

810 Hooper Ave
Ste 1
Toms River, NJ 08753
Phone (732) 281-3200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1598435273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 S MAIN ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314654",
            "telephone_number": "609-971-3500",
            "fax_number": "609-971-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537719",
            "telephone_number": "732-281-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02044500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.