Jennifer Rae-Ann Marshall, DPT
Individual provider Active NPI Physical Therapist · Cedar Knolls, NJ
NPI 1689639718 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1689639718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA01571000 (NJ)
- Practice address
- 240 Cedar Knolls Rd
Cedar Knolls, NJ 07927-1621 - Phone
- (973) 998-8100
- Fax
- (973) 998-8099
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141121001144 | NJ | Practitioner - Physical Therapist in Private Practice | 8527210509 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2755 | AR | MD | Physical Therapist |
| 40QA01571000 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Sports Care & Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Enjoy Jersey Services LLC | Physical Therapist | Current |
Accepting new patients |
| Sportscare of America, PC | Physical Therapist | Current |
Accepting new patients |
| Bergen Total Health LLC | Current |
Accepting new patients | |
| Sportscare Institute, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
305 Bayonne Crossing Way
Bayonne, NJ 07002
Phone (201) 778-2020
47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525
1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255
197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700
135 County Rd
#2A
Cresskill, NJ 07626
Phone (201) 569-0500
11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115
140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343
80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313
609 Morris Ave
Ste 2
Springfield, NJ 07081
Phone (973) 671-3200
111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440
530 Lakehurst Rd
Ste 202204
Toms River, NJ 08755
Phone (732) 349-1201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2755 | AR | |
| Sports Physical Therapist | 2251S0007X | PT2755 | AR | |
| Orthopedic Physical Therapist | 2251X0800X | PT2755 | AR | |
| Physical Therapist | 225100000X | 40QA01571000 | NJ | Yes |
Addresses
Primary practice location
240 Cedar Knolls Rd
Cedar Knolls, NJ 07927-1621
Mailing address
11 Eagle Rock Ave
East Hanover, NJ 07936-3167
Phone (973) 887-9000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154984721 | Medicaid | AR |
Other names
- Jenneifer Charron
Other providers in Cedar Knolls, NJ
- Karen Vanessa Macey-Stewart
- Bhakti Rasa Mahajan
- Ian James Mahoney
- Monil Mukeshkumar Majmundar
- Charles J Marotta
- Amber Lauren Mason
- Phyllis Marie Matichak
- Andrew Matos
- Maxim Brain and Spine
- Rosemary E MC Geady
All providers in Cedar Knolls, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.