NPIMap

Organization Active NPI

Elite Sports Physical Therapy

  • Physical Therapist
  • Tinton Falls, NJ
National Provider Identifier
1649590035
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELITE SPORTS PHYSICAL THERAPY
Practice address
1540 W Park Ave
Ste 4
Tinton Falls, NJ 07712-3191
Phone
(732) 544-0011
Fax
(732) 544-1115
NPI assigned
Jun 8, 2010
Last updated
Mar 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Ms. Sharon Wentworth, DPT, MSPTNPI 1982812673
Title
Owner
Phone
(732) 544-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1540 W Park Ave
Ste 4
Tinton Falls, NJ 07712-3191

Mailing address

1540 W Park Ave
Ste 4
Tinton Falls, NJ 07712-3191
Phone (732) 544-0011

National Provider Directory

National Provider Directory

Locations

1540 W Park Ave
Ste 4
Ocean, NJ 07712
Phone (732) 544-0011

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1649590035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W PARK AVE",
            "address_2": "STE 4",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077123191",
            "telephone_number": "732-544-0011",
            "fax_number": "732-544-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W PARK AVE",
            "address_2": "STE 4",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077123191",
            "telephone_number": "732-544-0011",
            "fax_number": "732-544-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPORTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "WENTWORTH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-544-0011",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT, MSPT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.