Individual provider Active NPI

Marcia Neiberg Pallop, MPT ATC

  • Physical Therapist
  • Northfield, NJ
National Provider Identifier
1699701037
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00485000 Issued in NJ
Practice address
1224 Tilton Rd
Northfield, NJ 08225-1809
Phone
(609) 926-1161
Fax
(609) 926-3223
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NJQA04850 NJ
Physical Therapist 225100000X 40QA00485000 NJ Primary

Addresses

Primary practice location

1224 Tilton Rd
Northfield, NJ 08225-1809

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (856) 677-4000

Other practice location 1

501 N Jerome Ave
Margate City, NJ 08402-1525
Phone (609) 318-6510

Other names 1

  • Marcia Wendy Neiberg Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131024000337 NJ Practitioner - Physical Therapist in Private Practice 0143460840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strive Physical Therapy Specialists LLCGroup PAC ID 6709292535, 163 clinicians

Practice addresses (Care Compare)

1224 Tilton Rd
Northfield, NJ 08225-1809
Phone (609) 926-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00485000NJMDPhysical Therapist
NJQA04850NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Strive Physical Therapy Specialists LLC CurrentSince Apr 3, 2023 Accepting new patients
Wallop Inc Current Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

300 Princeton Hightstown Rd
#A-201
East Windsor, NJ 08520
Phone (609) 426-4442

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

501 N Jerome Ave
Margate City, NJ 08402
Phone (609) 318-6510

1 Rossmoor Dr
Ste 101
Monroe Twp, NJ 08831
Phone (609) 860-9913

11 Centre Dr
Monroe Twp, NJ 08831
Phone (609) 655-3800

740 Marne Hwy
Ste 203
Moorestown, NJ 08057
Phone (856) 914-1400

1224 Tilton Rd
Northfield, NJ 08225
Phone (609) 926-1161

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

325 Princeton Ave
Princeton, NJ 08540
Phone (609) 924-5044

Organizations & group practices 6

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1699701037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251809",
            "telephone_number": "609-926-1161",
            "fax_number": "609-926-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Jerome Ave",
            "address_purpose": "LOCATION",
            "city": "Margate City",
            "state": "NJ",
            "postal_code": "084021525",
            "country_code": "US",
            "telephone_number": "609-318-6510",
            "fax_number": "609-318-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALLOP",
        "first_name": "MARCIA",
        "middle_name": "NEIBERG",
        "name_prefix": "Mrs.",
        "credential": "MPT ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "NJQA04850",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00485000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "NEIBERG",
            "middle_name": "WENDY",
            "credential": "MPT ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.