Organization Active NPI

Southern Ocean Sports Training, P.C.

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1659411692
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SOUTHERN OCEAN SPORTS TRAINING, P.C.
Practice address
9 Mule Rd
Suite E-2
Toms River, NJ 08755-5043
Phone
(732) 473-1666
Fax
(732) 473-1601
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Mr. Robert William Matthews, M.P.T.
Title
Manager
Phone
(732) 473-1666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9 Mule Rd
Suite E-2
Toms River, NJ 08755-5043

Mailing address

9 Mule Rd
Suite E-2
Toms River, NJ 08755-5043
Phone (732) 473-1666

Other names 1

  • Southern Ocean Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

823 Lacey Rd
Fl Second
Forked River, NJ 08731
Phone (732) 473-1666

1172 Beacon Ave
#B
Manahawkin, NJ 08050
Phone (609) 350-6780

35 S Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 936-0444

9 Mule Rd
Ste E2
Toms River, NJ 08755
Phone (732) 473-1666

75 Lacey Rd
Ste 3
Whiting, NJ 08759
Phone (732) 350-1188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1659411692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MULE RD",
            "address_2": "SUITE E-2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555043",
            "telephone_number": "732-473-1666",
            "fax_number": "732-473-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MULE RD",
            "address_2": "SUITE E-2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555043",
            "telephone_number": "732-473-1666",
            "fax_number": "732-473-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OCEAN SPORTS TRAINING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-473-1666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Ocean Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.