Individual provider Active NPI

Traci Allison McCarthy, DPT

  • Physical Therapist
  • Hazlet, NJ
National Provider Identifier
1609123371
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01452300 Issued in NJ
Practice address
226 Middle Rd
Suite 5
Hazlet, NJ 07730-1945
Phone
(732) 888-9889
NPI assigned
Aug 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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 40QA01452300 NJ Primary

Addresses

Primary practice location

226 Middle Rd
Suite 5
Hazlet, NJ 07730-1945

Mailing address

226 Middle Rd
Suite 5
Hazlet, NJ 07730-1945
Phone (732) 888-9889

Other names 1

  • Traci Jessop Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121018000127 NJ Practitioner - Physical Therapist in Private Practice 2769632256 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01452300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Toms River Ambulatory Anesthesia LLC CurrentSince Jan 3, 2025 Accepting new patients
Sea Girt Physical Medicine and Rehabilitation Associates, LLC CurrentSince Mar 1, 2020 Accepting new patients
New Jersey Rehabilitation CurrentSince Dec 1, 2025 Accepting new patients
Toms River Ambulatory Anesthesia LLC CurrentSince Jan 3, 2025 Accepting new patients
Professional Orthopedic and Sports Physical Therapy Physical Therapist PastSince Aug 13, 2012 Accepting new patients

Locations

240 Parker Ave
Manasquan, NJ 08736
Phone (732) 612-8412

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Organizations & group practices 5

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": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1609123371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MIDDLE RD",
            "address_2": "SUITE 5",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301945",
            "telephone_number": "732-888-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MIDDLE RD",
            "address_2": "SUITE 5",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301945",
            "telephone_number": "732-888-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "TRACI",
        "middle_name": "ALLISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01452300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "JESSOP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.