Individual provider Active NPI

Albert Matic, PT

  • Physical Therapist
  • Little Egg Harbor TWP, NJ
National Provider Identifier
1679023055
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01662300 Issued in NJ
Practice address
22 Winged Foot LN
Little Egg Harbor TWP, NJ 08087-3004
Phone
(954) 825-5794
NPI assigned
Oct 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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 40QA01662300 NJ Primary

Addresses

Primary practice location

22 Winged Foot LN
Little Egg Harbor TWP, NJ 08087-3004

Mailing address

22 Winged Foot LN
Little Egg Harbor TWP, NJ 08087-3004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901000274 NJ Practitioner - Physical Therapist in Private Practice 4284907841 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Pantano and Rossi Chiropractic Center PAGroup PAC ID 9537206966, 7 clinicians

Practice addresses (Care Compare)

1701 New Rd
Northfield, NJ 08225-1197
Phone (609) 272-1150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01662300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc. CurrentSince Sep 1, 2021 Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist Current Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Pantano & Rossi Chiropractic Center PA CurrentSince Aug 21, 2023 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Advanced Spine and Pain, LLC PastSince Feb 12, 2023 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

300 Philadelphia Ave
Egg Harbor Cy, NJ 08215
Phone (609) 965-5533

4622 Black Horse Pike
Mays Landing, NJ 08330
Phone (609) 893-1200

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

1701 New Rd
Northfield, NJ 08225
Phone (609) 272-1150

Organizations & group practices 8

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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1679023055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WINGED FOOT LN",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080873004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WINGED FOOT LN",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080873004",
            "telephone_number": "954-825-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIC",
        "first_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01662300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.