Individual provider Active NPI

Anthony J Perrone, DPT, PT

  • Physical Therapist
  • Matawan, NJ
National Provider Identifier
1699053389
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01408600 Issued in NJ
Practice address
127 Main St
Ste E
Matawan, NJ 07747-2621
Phone
(732) 970-4974
Fax
(732) 970-4088
NPI assigned
Jul 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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 40QA01408600 NJ Primary

Addresses

Primary practice location

127 Main St
Ste E
Matawan, NJ 07747-2621

Mailing address

127 Main St
Ste E
Matawan, NJ 07747-2621
Phone (732) 970-4974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120127000077 NJ Practitioner - Physical Therapist in Private Practice 2860669108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers School of Dental Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipta Clinical, LLCGroup PAC ID 0749456119, 126 clinicians

Practice addresses (Care Compare)

175 Route 70
Suite 19
Medford, NJ 08055-2355
Phone (609) 714-3378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01408600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
3 Dimensional Physical Therapy - Pelvic Health LLC Physical Therapist CurrentSince Feb 23, 2025 Accepting new patients
Ipta Clinical, LLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Spectrum Physical Therapy and Athletic Training LLC Past Accepting new patients

Locations

496 Kings Hwy N
Ste 110
Cherry Hill, NJ 08034
Phone (856) 267-0745

175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750

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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1699053389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "address_2": "STE E",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472621",
            "telephone_number": "732-970-4974",
            "fax_number": "732-970-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "address_2": "STE E",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472621",
            "telephone_number": "732-970-4974",
            "fax_number": "732-970-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRONE",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "DPT,  PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01408600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.