Individual provider Active NPI

Athena Marie Throckmorton, MPT

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1699011650
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00875800 Issued in NJ
Practice address
1360 Clifton Ave
PM Box 345
Clifton, NJ 07012-1343
Phone
(973) 928-3590
Fax
(973) 928-3589
NPI assigned
Dec 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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 40QA00875800 NJ Primary

Addresses

Primary practice location

1360 Clifton Ave
PM Box 345
Clifton, NJ 07012-1343

Mailing address

935 Allwood Rd
1St Floor
Clifton, NJ 07012-1988
Phone (973) 928-3590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Jun 1, 2023 Accepting new patients
Pro Staff Physical Therapy PC Physical Therapist CurrentSince Feb 1, 2013 Accepting new patients

Locations

935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590

935 Allwood Rd
Fl 1
Clifton, NJ 07012
Phone (973) 928-3590

20 Commerce Dr
Ste 210
Cranford, NJ 07016

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

265 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-0500

Organizations & group practices 3

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": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1699011650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 ALLWOOD RD",
            "address_2": "1ST FLOOR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121988",
            "telephone_number": "973-928-3590",
            "fax_number": "973-928-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 CLIFTON AVE",
            "address_2": "PM BOX 345",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121343",
            "telephone_number": "973-928-3590",
            "fax_number": "973-928-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THROCKMORTON",
        "first_name": "ATHENA",
        "middle_name": "MARIE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00875800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.