Individual provider Active NPI

Stephen East, DPT

  • Physical Therapist
  • Swedesboro, NJ
National Provider Identifier
1689303166
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02090200 Issued in NJ
Practice address
520 Beckett Rd Ste 200
Swedesboro, NJ 08085-1732
Phone
(856) 467-3421
NPI assigned
Jun 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 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 40QA02090200 NJ Primary

Addresses

Primary practice location

520 Beckett Rd Ste 200
Swedesboro, NJ 08085-1732

Mailing address

500 Dusty LN
Linwood, NJ 08221-1055
Phone (609) 703-3606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220719000093 NJ Practitioner - Physical Therapist in Private Practice 3375924699 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02090200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc CurrentSince May 29, 2022 Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients
Rehabclinics SPT, Inc. CurrentSince May 29, 2022 Accepting new patients
Rehabclinics SPT Inc PastSince Jun 12, 2022 Accepting new patients

Locations

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

733 Route 72 W
Unit 15E
Stafford Township, NJ 08050
Phone (267) 261-3730

520 Beckett Rd
Ste 200
Swedesboro, NJ 08085
Phone (856) 467-3421

Organizations & group practices 4

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1689303166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DUSTY LN",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211055",
            "telephone_number": "609-703-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BECKETT RD STE 200",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851732",
            "telephone_number": "856-467-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAST",
        "first_name": "STEPHEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02090200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swedesboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.