Mpower Physical Therapy LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MPOWER PHYSICAL THERAPY LLC

Practice address

27 Ronarm Dr
Mountain Lakes, NJ 07046-1422

Phone

(856) 628-6395

NPI assigned

Jan 23, 2019

Organization subpart

No

Name

Jeanette Mayer, PTNPI 1609971936

Title

Physical Therapist

Phone

(856) 628-6395

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanette Q Mayer, PT

  • Physical Therapist
  • Mountain Lakes, NJ
  • NPI 1609971936

  NJ, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Mayer, DPT

  • Physical Therapist
  • Oakland, NJ
  • NPI 1902111883

  NJ, Physical Therapist

  Medicare reassignment Care Compare group NPD

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2019.

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1609330737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 RONARM DR",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461422",
            "telephone_number": "856-628-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 RONARM DR",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461422",
            "telephone_number": "856-628-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPOWER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "856-628-6395",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Lakes Integrated Healthcare
• Mountain Lakes Medical Center, LLC
• Mountain Lakes Pathology LLC
• Mountain Lakes Premier Dental , LLC
• Mountain Lakes Psychotherapy, LLC
• MTB First Assist LLC
• Sheikh Marie Naeem, MD
• Elizabeth Niewood
• Anjalee Sriram Nirgudkar, PH. D., BCBA-D
• Heidi O'Donnell, MSW LCSW

• All providers in Mountain Lakes, NJ
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.