Active NPI
Leonard Jesus Somarriba
- Orthopedic Physical Therapist
- Aberdeen, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 04001234000
- Practice address
- 1212 Highway 34
Suite 24/25
Aberdeen, NJ 07747-1903 - Phone
- (561) 676-3565
- NPI assigned
- Aug 10, 2008
- Last updated
- May 19, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 04001234000 | NJ | Primary |
Addresses
Primary practice location
1212 Highway 34
Suite 24/25
Aberdeen, NJ 07747-1903
Mailing address
458 S Livingston Ave
Livingston, NJ 07039-4328
Phone (561) 676-3565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1077 State Route 34
Suite M
Aberdeen, NJ 07747-2151
Phone (732) 970-7882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04001234000 | NJ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proform Physical Therapy LLC | Orthopedic | Current | Accepting new patients |
| Proform Physical Therapy LLC | Current | Accepting new patients | |
| Diego Ruiz DC LLC | Past | Accepting new patients | |
| Absolute Rehab Inc | Past | Accepting new patients | |
| Spectrum Physical Therapy & Athletic Training, LLC | Orthopedic | Past | Accepting new patients |
Locations
510 State Route 18
East Brunswick, NJ 08816
Phone (732) 554-8330
1921 Route 27
Edison, NJ 08817
Phone (732) 290-4511
1077 State Route 34
Ste M
Matawan, NJ 07747
Phone (732) 970-7882
1212 State Route 34
Ste 2425
Matawan, NJ 07747
Phone (732) 970-7882
1270 State Route 35
Middletown, NJ 07748
Phone (732) 615-3900
2665 Highway 516
Old Bridge, NJ 08857
Phone (732) 952-8826
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368921600000",
"number": "1629224647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 S LIVINGSTON AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394328",
"telephone_number": "561-676-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 HIGHWAY 34",
"address_2": "SUITE 24/25",
"city": "ABERDEEN",
"state": "NJ",
"postal_code": "077471903",
"telephone_number": "561-676-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMARRIBA",
"first_name": "LEONARD",
"middle_name": "JESUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-10",
"last_updated": "2013-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "04001234000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2013; 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.