Individual provider Active NPI

Alan Gaines, PT

  • Physical Therapist
  • Freehold, NJ
National Provider Identifier
1649715848
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01703600 Issued in NJ
Practice address
210 Mounts Corner Dr
Freehold, NJ 07728-2547
Phone
(877) 532-7837
NPI assigned
Dec 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01703600 NJ Primary

Addresses

Primary practice location

210 Mounts Corner Dr
Freehold, NJ 07728-2547

Mailing address

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837

Other identifiers 1

IdentifierTypeStateIssuer
40QA01703600OtherNJLICENSED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170215002967 NJ Practitioner - Physical Therapist in Private Practice 2668755752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Be Healthy LLCGroup PAC ID 1951796622, 94 clinicians

Practice addresses (Care Compare)

1455 Broad St
Bloomfield, NJ 07003-3047
Phone (732) 784-3578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Old Bridge Spine & Wellness Center,PA Physical Therapist CurrentSince Dec 23, 2016 Accepting new patients
All Be Healthy LLC Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
All Be Healthy LLC Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients

Locations

1455 Broad St
Ste 250
Bloomfield, NJ 07003
Phone (201) 817-6982

150A Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

150 Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

2-22 Banta Pl
Fair Lawn, NJ 07410
Phone (201) 509-8600

210 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 333-6322

144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895

300 Perrine Rd
Ste 315
Old Bridge, NJ 08857
Phone (732) 264-8282

300 Perrine Rd
Ste 305
Old Bridge, NJ 08857
Phone (732) 316-5895

765 Route 10
Ste 101
Randolph, NJ 07869
Phone (973) 983-3709

1311 Morris Ave
Union, NJ 07083
Phone (908) 686-8446

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1649715848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MOUNTS CORNER DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282547",
            "telephone_number": "877-532-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-23",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01703600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED",
            "identifier": "40QA01703600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.