Organization Active NPI

Oasis Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Middletown, NJ
National Provider Identifier
1700614070
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OASIS PHYSICAL THERAPY, LLC
Practice address
153 Iler Dr
Middletown, NJ 07748-3324
Phone
(732) 204-2717
NPI assigned
Jul 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Dr. David ColellaNPI 1538594007
Title
Owner
Phone
(732) 204-2717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

153 Iler Dr
Middletown, NJ 07748-3324

Mailing address

153 Iler Dr
Middletown, NJ 07748-3324
Phone (732) 204-2717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240715002257 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244775252 Receives reassigned benefits from 4 practitioners
Practice locations: Leonardo, NJ; Tinton Falls, NJ

National Provider Directory

National Provider Directory

Locations

4070 Asbury Ave
Tinton Falls, NJ 07753
Phone (732) 204-6448

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1700614070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 ILER DR",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483324",
            "telephone_number": "732-204-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 ILER DR",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483324",
            "telephone_number": "732-204-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "COLELLA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-204-2717",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.