Individual provider Active NPI

Alyssa Nicole Baez

  • Physical Therapist
  • Manalapan, NJ
National Provider Identifier
1679256705
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02187500 Issued in NJ
Practice address
100 Craig Rd Ste 108
Manalapan, NJ 07726-8731
Phone
(732) 462-2162
Fax
(732) 462-2137
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 40QA02187500 NJ Primary

Addresses

Primary practice location

100 Craig Rd Ste 108
Manalapan, NJ 07726-8731

Mailing address

331 Newman Springs Rd Ste 308
Red Bank, NJ 07701-5688
Phone (732) 747-1262

Other practice location 1

331 Newman Springs Rd Ste 308
Red Bank, NJ 07701-5688
Phone (732) 747-1262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912000538 NJ Practitioner - Physical Therapist in Private Practice 7416311345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DB Orthopedic Physical Therapy of Manalapan, LLCGroup PAC ID 1951554054, 3 clinicians

Practice addresses (Care Compare)

100 Craig Rd
Suite 108
Manalapan, NJ 07726-8731
Phone (732) 462-2162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DB Orthopedic Physical Therapy of Manalapan, LLC Physical Therapist CurrentSince Aug 31, 2023 Accepting new patients
DB Orthopedic Physical Therapy, PC Physical Therapist CurrentSince Aug 31, 2023 Accepting new patients

Locations

100 Craig Rd
Ste 108
Manalapan, NJ 07726
Phone (732) 462-2162

Organizations & group practices 2

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1679256705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 308",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688",
            "telephone_number": "732-747-1262",
            "fax_number": "732-747-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CRAIG RD STE 108",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268731",
            "telephone_number": "732-462-2162",
            "fax_number": "732-462-2137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Newman Springs Rd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077015688",
            "country_code": "US",
            "telephone_number": "732-747-1262",
            "fax_number": "732-747-1292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02187500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.