Individual provider Active NPI

Chelsey Taggart, DPT

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1699325936
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01888500 Issued in NJ
Practice address
19 Mule Rd
Toms River, NJ 08755-5061
Phone
(732) 505-1300
Fax
(732) 505-1301
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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 40QA01888500 NJ Primary

Addresses

Primary practice location

19 Mule Rd
Toms River, NJ 08755-5061

Mailing address

67 Lacey Rd
Whiting, NJ 08759-2912
Phone (732) 849-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108000516 NJ Practitioner - Physical Therapist in Private Practice 2264864453 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shorefit Training LLCGroup PAC ID 7315390382, 4 clinicians

Practice addresses (Care Compare)

1002 Midship Ave
Manahawkin, NJ 08050-2338
Phone (201) 252-7416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01888500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shorefit Training LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Mar 3, 2020 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Mar 3, 2020 Accepting new patients
Craig Rallo Chiropractor,LLC CurrentSince Jan 16, 2024 Accepting new patients

Locations

849 W Bay Ave
Ste 4
Barnegat, NJ 08005
Phone (609) 660-1900

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

505 Main St
Ste B
Lanoka Harbor, NJ 08734
Phone (609) 994-3730

2698 Highway 516
Ste C
Old Bridge, NJ 08857
Phone (732) 679-1100

19 Mule Rd
Toms River, NJ 08755
Phone (732) 240-1400

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": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1699325936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LACEY RD",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592912",
            "telephone_number": "732-849-9600",
            "fax_number": "732-849-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MULE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555061",
            "telephone_number": "732-505-1300",
            "fax_number": "732-505-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGGART",
        "first_name": "CHELSEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01888500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.