Core PT LLC
Organization Active NPI Physical Therapy Clinic/Center · Lakewood, NJ
NPI 1699213470 · NPPES record last updated Oct 25, 2021
Key facts
- NPI
- 1699213470
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 40QA01714600 (NJ)
- Legal business name
- CORE PT LLC
- Practice address
- 1776 Avenue of the States Ste 301
Lakewood, NJ 08701-4592 - Phone
- (732) 660-5422
- Fax
- (732) 362-4497
- NPI assigned
- Feb 1, 2017
- Organization subpart
- No
Authorized official
- Name
- David Gindi
- Title
- Physical Therapist
- Phone
- (732) 660-5422
Practitioners 18
-
Nechama Pick, MS CCC SLP
-
Morgan Alicia Marshall, OTD, OTR/L
-
Mozelle Tobias, OTR/L
-
David Gindi, DPT
-
Chaya B. Levine, MA, CCC-SLP
-
Rina Rambod, OTR/L
-
Miri Schmookler, CCC, SLP
-
Albert Sultan, PT, DPT
-
Nechama Tatel, OTRL
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170629001703 | NJ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8729362132 |
Receives reassigned benefits from 17 practitioners Practice locations: Oakhurst, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 40QA01714600 | NJ | Yes |
Addresses
Primary practice location
1776 Avenue of the States Ste 301
Lakewood, NJ 08701-4592
Mailing address
11 Elinore Ave
Long Branch, NJ 07740-4824
Phone (732) 660-6422
Other practice location 1
11 Elinore Ave
Long Branch, NJ 07740-4824
Phone (732) 660-6422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041097 | Other | NY | LICENSE# |
| 40QA01714600 | Other | NJ | LICENSE# |
Other names
- Gindi Home Rehab
Other providers in Lakewood, NJ
- Lisa Kristine Connolly
- Dawn Marie Conover
- Patricia Elizabeth Conti
- April Nicole Cooke
- Chantzy Cooper
- Core Therapy LLC
- Nancy Cornblatt
- Corporate Care
- Olivia Costello
- Elena Couldrey
All providers in Lakewood, NJ · Physical Therapy Clinic/Center 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 Oct 25, 2021. 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.