Michael John Donoghue, PT ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00400900 Issued in NJ

Practice address

1007 Mantua Pike
Woodbury, NJ 08096-3963

Phone

(856) 845-1253

Fax

(856) 845-3779

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Physical Therapy Center 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Atlantic Physical Therapy Center

  • Orthopedic Physical Therapist
  • Toms River, NJ
  • NPI 1801857917

  NJ, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Atlantic Physical Therapy Center

  • Hand Occupational Therapist
  • Oakhurst, NJ
  • NPI 1659945228
  NPD
• Seashore Pediatric Therapy Center PC

  • Multi-Specialty Clinic/Center
  • Manahawkin, NJ
  • NPI 1396277083
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619902897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CUTTS DR",
            "city": "TABERNACLE",
            "state": "NJ",
            "postal_code": "080888656",
            "telephone_number": "609-268-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963963",
            "telephone_number": "856-845-1253",
            "fax_number": "856-845-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOGHUE",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "PT ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00400900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dimarino-Kroop-Prieto Gastro Intestinal Associates PA
• Dimarino-Kroop-Prieto Gastro-Intestinal Associates,PA
• Alexa Dimino
• Suzanne L. Dodd, PA-C
• Matthew Donnelly
• Christopher J Doran, PH.D.
• Marisa Mae Douglas
• DPSP Healthcare LLC
• Dr Harvey S Karpo
• Dr Harvey S Karpo

• All providers in Woodbury, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.