Active NPI
Traci Allison McCarthy, DPT
- Physical Therapist
- Hazlet, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01452300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 40QA01452300 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toms River Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Sea Girt Physical Medicine and Rehabilitation Associates, LLC | Current | Accepting new patients | |
| New Jersey Rehabilitation | Current | Accepting new patients | |
| Toms River Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Professional Orthopedic and Sports Physical Therapy | Physical Therapist | Past | 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.
-
- Multi-Specialty Clinic/Center
- Shrewsbury, NJ
- NPI 1013801604
-
- Physical Medicine & Rehabilitation Physician
- Manasquan, NJ
- NPI 1407004195
-
- Integrative Medicine Physician
- Shrewsbury, NJ
- NPI 1841540341
-
- Durable Medical Equipment & Medical Supplies
- Manasquan, NJ
- NPI 1700682515
-
- Physical Therapist
- New York, NY
- NPI 1568766467
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.