Active NPI
Thomas Bianco Jr., PT
- Physical Therapist
- Vineland, NJ
National Provider Identifier
1639266190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00781300
- Practice address
- 1940 S West Blvd BLDG a
Vineland, NJ 08360-7024 - Phone
- (856) 690-9977
- Fax
- (856) 507-9918
- NPI assigned
- Oct 6, 2006
- Last updated
- Sep 24, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 40QA00781300 | NJ | |
| Physical Therapist | 225100000X | 40QA00781300 | NJ | Primary |
Addresses
Primary practice location
1940 S West Blvd BLDG a
Vineland, NJ 08360-7024
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (888) 830-4125
Other practice location 1
205 Madison Ave
Lumberton, NJ 08048-2901
Phone (609) 261-3354
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00282017 | Other | NJ | RAILROAD MEDICARE |
| 2713128 | Other | NJ | CIGNA PPO |
| 1962696 | Other | NJ | UNITEDHEALTHCARE MPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua - West Jersey Health System, Inc. | Past | Accepting new patients | |
| Functional Independence Therapy Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| Select Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Voorhees, NJ
- NPI 1467695759
-
- Physical Therapist
- Somerdale, NJ
- NPI 1689797656
-
dba Virtua Home Care at West Jersey
- Home Health Agency
- Marlton, NJ
- NPI 1316943004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1639266190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224",
"telephone_number": "888-830-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 S WEST BLVD BLDG A",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083607024",
"telephone_number": "856-690-9977",
"fax_number": "856-507-9918"
}
],
"practiceLocations": [
{
"address_1": "205 Madison Ave",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "NJ",
"postal_code": "080482901",
"country_code": "US",
"telephone_number": "609-261-3354",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIANCO",
"first_name": "THOMAS",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "40QA00781300",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00781300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00282017",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "2713128",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE MPIN",
"identifier": "1962696",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.