Individual provider Active NPI

Beata Thomas, PT, DPT

  • Physical Therapist
  • Princeton, NJ
National Provider Identifier
1649925355
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01405600 Issued in NJ
Practice address
800 Bunn Dr
Princeton, NJ 08540-1968
Phone
(609) 683-1010
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 40QA01405600 NJ Primary

Addresses

Primary practice location

800 Bunn Dr
Princeton, NJ 08540-1968

Mailing address

800 Bunn Dr Ste 102
Princeton, NJ 08540-1968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220309000028 NJ Practitioner - Physical Therapist in Private Practice 1153715131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers New Jersey Medical School, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Activcore Health Network LLCGroup PAC ID 9830400456, 25 clinicians

Practice addresses (Care Compare)

800 Bunn Dr
Suite 102
Princeton, NJ 08540-1968
Phone (800) 455-8982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Activcore Health Network LLC Physical Therapist CurrentSince Mar 2, 2022 Accepting new patients

Locations

800 Bunn Dr
Princeton, NJ 08540
Phone (609) 644-3822

800 Bunn Dr
Ste 102
Princeton, NJ 08540
Phone (609) 466-9004

Organizations & group practices 1

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": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1649925355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BUNN DR STE 102",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BUNN DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968",
            "telephone_number": "609-683-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BEATA",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01405600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.