Individual provider Active NPI

Matthew Parker, PT

  • Physical Therapist
  • Manasquan, NJ
National Provider Identifier
1699140731
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01648100 Issued in NJ
Practice address
2516 Highway 35
Manasquan, NJ 08736-1925
Phone
(732) 223-6309
Fax
(732) 223-6409
NPI assigned
Dec 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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 40QA01648100 NJ Primary

Addresses

Primary practice location

2516 Highway 35
Manasquan, NJ 08736-1925

Mailing address

2516 Highway 35
Manasquan, NJ 08736-1925
Phone (732) 223-6309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160331000343 NJ Practitioner - Physical Therapist in Private Practice 5193022432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adaptive Home Therapy, Inc.Group PAC ID 4284522772, 26 clinicians

Practice addresses (Care Compare)

3 Plaza Dr
Suite 12
Toms River, NJ 08757-3765
Phone (732) 886-6996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01648100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Home Therapy, Inc. Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
Active Physical Therapy, LLC Physical Therapist CurrentSince Nov 25, 2015 Accepting new patients
Anil K Gupta MD PA PastSince Sep 19, 2022 Accepting new patients

Locations

2516 Route 35
Manasquan, NJ 08736
Phone (732) 223-0317

3 Plaza Dr
Ste 12
Toms River, NJ 08757
Phone (732) 244-2299

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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1699140731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 HIGHWAY 35",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361925",
            "telephone_number": "732-223-6309",
            "fax_number": "732-223-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 HIGHWAY 35",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361925",
            "telephone_number": "732-223-6309",
            "fax_number": "732-223-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01648100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.